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1861739252
DAVID LANCE ELLIS
KINGSPORT, TN
NPI
1861739252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 9511)
Enumeration Date
2013-01-07
Last Update Date
2013-01-07
Business Address
MR. DAVID LANCE ELLIS PT
105 W STONE DR STE 1D
KINGSPORT, TN 37660-3365
Phone number: 423-578-1560
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Mailing Address
MR. DAVID LANCE ELLIS PT
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2066
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