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1730313172
KENT ELLSWORTH
FORT SAM HOUSTON, TX
NPI
1730313172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2009-05-13
Last Update Date
2023-07-27
Business Address
KENT ELLSWORTH PA-C
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-539-9582
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Mailing Address
KENT ELLSWORTH PA-C
2745 HARNEY PATH
SAN ANTONIO, TX 78234-7677
Phone number: 210-221-6504
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