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1740391044
WESLEY ELLISON
BISMARCK, ND
NPI
1740391044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: ND 8189)
Enumeration Date
2006-08-31
Last Update Date
2007-12-07
Business Address
-- WESLEY ELLISON
3502 FRANKLIN AVE
BISMARCK, ND 58503-0761
Phone number: 701-222-2480
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Mailing Address
-- WESLEY ELLISON
PO BOX 2036
BISMARCK, ND 58502-2036
Phone number:
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