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1881754810
ELLEN MCKELSON
MODESTO, CA
NPI
1881754810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA15301)
Enumeration Date
2006-12-11
Last Update Date
2012-02-01
Business Address
-- ELLEN MCKELSON
1441 FLORIDA AVE
MODESTO, CA 95350-4405
Phone number: 209-576-3971
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Mailing Address
-- ELLEN MCKELSON
1441 FLORIDA AVE
MODESTO, CA 95350-4405
Phone number:
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