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1871501254
RONALD L ELLISON
COSTA MESA, CA
NPI
1871501254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 10402)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
-- RONALD L ELLISON PA
352 COSTA MESA ST
COSTA MESA, CA 92627-2355
Phone number: 714-293-9950
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Mailing Address
-- RONALD L ELLISON PA
352 COSTA MESA ST
COSTA MESA, CA 92627-2355
Phone number: 714-293-9950
Copy
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