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1841727716
KENYANITA ELLIS
JACKSONVILLE, FL
NPI
1841727716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL OS16790)
Enumeration Date
2017-05-22
Last Update Date
2023-03-01
Business Address
Dr. KENYANITA ELLIS D.O.
12086 FORT CAROLINE RD STE 401
JACKSONVILLE, FL 32225-7640
Phone number: 904-456-9240
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Mailing Address
Dr. KENYANITA ELLIS D.O.
12086 FORT CAROLINE RD STE 401
JACKSONVILLE, FL 32225-7640
Phone number: 904-456-9240
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