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1790059459
MICHELLE ELLIS
BECKLEY, WV
NPI
1790059459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 60321)
Enumeration Date
2012-02-28
Last Update Date
2012-02-28
Business Address
-- MICHELLE ELLIS FNP-BC
3157 ROBERT C. BYRD DR.
BECKLEY, WV 25801
Phone number: 304-253-9355
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Mailing Address
-- MICHELLE ELLIS FNP-BC
PO BOX 1486
PINEVILLE, WV 24874-1486
Phone number: 304-732-7824
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