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1841658135
KATHA D ELLIS
BARTOW, FL
NPI
1841658135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL APRN731232)
Enumeration Date
2016-02-02
Last Update Date
2020-03-19
Business Address
Mrs. KATHA D ELLIS APRN
1255 GOLFVIEW AVE
BARTOW, FL 33830-6736
Phone number: 863-519-0575
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Mailing Address
Mrs. KATHA D ELLIS APRN
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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