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1770171522
SHANNA ELLIS
LOUISVILLE, KY
NPI
1770171522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: KY 1119268)
Enumeration Date
2021-01-07
Last Update Date
2021-01-07
Business Address
SHANNA ELLIS RN
5405 RURAL WAY
LOUISVILLE, KY 40218-4247
Phone number: 502-741-0193
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Mailing Address
SHANNA ELLIS RN
5405 RURAL WAY
LOUISVILLE, KY 40218-4247
Phone number:
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