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1720352529
CAROL MARIE ELLSWORTH
FPO, AP
NPI
1720352529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 187197)
Enumeration Date
2012-02-27
Last Update Date
2023-08-22
Business Address
Ms. CAROL MARIE ELLSWORTH NP-C
PSC 476 BOX 25
FPO, AP 96322-0001
Phone number: 315-252-2589
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Mailing Address
Ms. CAROL MARIE ELLSWORTH NP-C
PSC 476 BOX 25
FPO, AP 96322-0001
Phone number: 315-252-2589
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