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1770152415
TINA ELLIS
OLIVE BRANCH, MS
NPI
1770152415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS F03200290)
Enumeration Date
2021-06-17
Last Update Date
2022-10-25
Business Address
MS. TINA ELLIS APRN
7321 EASTOVER BLVD
OLIVE BRANCH, MS 38654-1413
Phone number: 813-716-7611
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Mailing Address
MS. TINA ELLIS APRN
7321 EASTOVER BLVD
OLIVE BRANCH, MS 38654-1413
Phone number: 813-716-7611
Copy
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