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1801959697
ANTHONY R. ELLIS
LAKE CITY, IA
NPI
1801959697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IA 03091)
Enumeration Date
2006-12-19
Last Update Date
2020-07-08
Business Address
ANTHONY R. ELLIS DO
3478 INWOOD AVE
LAKE CITY, IA 51449-7577
Phone number: 712-464-1015
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Mailing Address
ANTHONY R. ELLIS DO
3478 INWOOD AVE
LAKE CITY, IA 51449-7577
Phone number: 712-464-1015
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