NICHOLAS ELLIS

SHELBYVILLE, TN
NPI1841996121
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: TN  2451)
Enumeration Date2023-02-07
Last Update Date2023-02-07
Business Address
NICHOLAS ELLIS LDO
875 UNION STREET
SHELBYVILLE, TN 37160
Phone number: 931-488-5778
Mailing Address
NICHOLAS ELLIS LDO
PO BOX 2672
SHELBYVILLE, TN 37162-2641
Phone number: 931-488-5778
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