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1831159169
LARRY D. ELLINGSON
CORALVILLE, IA
NPI
1831159169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IA 201431154)
Enumeration Date
2006-03-23
Last Update Date
2014-01-06
Business Address
Dr. LARRY D. ELLINGSON O.D.
1451 CORAL RIDGE AVE
CORALVILLE, IA 52241-2805
Phone number: 319-466-0644
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Mailing Address
Dr. LARRY D. ELLINGSON O.D.
4823 RAPID CREEK RD NE
IOWA CITY, IA 52240-7716
Phone number: 319-643-2304
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