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1861571903
KEN RICHARD ELLZEY
CLOVIS, CA
NPI
1861571903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA C40990)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
KEN RICHARD ELLZEY MD
2071 HERNDON AVE
CLOVIS, CA 93611-6101
Phone number: 559-324-5100
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Mailing Address
KEN RICHARD ELLZEY MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262
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