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1760630669
JON GABRIEL ELLISON
LA MESA, CA
NPI
1760630669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 125049476)
Enumeration Date
2008-09-04
Last Update Date
2012-03-02
Business Address
Dr. JON GABRIEL ELLISON M.D.
7777 ALVARADO RD STE 108
LA MESA, CA 91942-8245
Phone number: 619-460-2774
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Mailing Address
Dr. JON GABRIEL ELLISON M.D.
7777 ALVARADO RD STE 108
LA MESA, CA 91942-8245
Phone number: 619-460-2774
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