JARED SCOTT ELLSWORTH

ARDMORE, OK
NPI1821829821
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  5366)
Enumeration Date2024-08-12
Last Update Date2024-08-12
Business Address
JARED SCOTT ELLSWORTH PA
1104 WALNUT DR
ARDMORE, OK 73401-2353
Phone number: 580-223-3411
Mailing Address
JARED SCOTT ELLSWORTH PA
1104 WALNUT DR
ARDMORE, OK 73401-2353
Phone number: 580-223-3411
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