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1851848360
JONATHAN ELLEN MD PC
LAS CRUCES, NM
NPI
1851848360
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Entity Type
Organization
Authorized Contact
JONATHAN ELLEN
Owner/Manager
901-484-2052
Organization Subpart ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
JONATHAN ELLEN MD PC
4441 E LOHMAN AVE
LAS CRUCES, NM 88011-8267
Phone number: 901-484-2052
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Mailing Address
JONATHAN ELLEN MD PC
PO BOX 1000 DEPT 0420
MEMPHIS, TN 38148-0420
Phone number: 901-821-0338
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