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1730813841
CASEY COLDIRON ELLIS
FORT BRAGG, NC
NPI
1730813841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
CASEY COLDIRON ELLIS PA-C
1722 TAGAYTAY DRIVE
FORT BRAGG, NC 28310-0001
Phone number: 910-907-8282
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Mailing Address
CASEY COLDIRON ELLIS PA-C
1722 TAGAYTAY DRIVE
FORT BRAGG, NC 28310-0001
Phone number:
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