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1730550492
COURTNEY DYAN ELLIS
LORAIN, OH
NPI
1730550492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: OH COA.18102-NP)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
MRS. COURTNEY DYAN ELLIS NP-C
5172 LEAVITT RD
LORAIN, OH 44053-2384
Phone number: 440-282-7420
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Mailing Address
MRS. COURTNEY DYAN ELLIS NP-C
5172 LEAVITT RD
LORAIN, OH 44053-2384
Phone number: 440-282-7420
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