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1912358656
ELLEN BRISTER LEE
GREENVILLE, MS
NPI
1912358656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MS 3880-16)
Enumeration Date
2016-06-23
Last Update Date
2016-06-23
Business Address
Dr. ELLEN BRISTER LEE D.M.D
1565 S MAIN ST
GREENVILLE, MS 38701-7005
Phone number: 662-335-1413
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Mailing Address
Dr. ELLEN BRISTER LEE D.M.D
1565 S MAIN ST
GREENVILLE, MS 38701-7005
Phone number: 662-335-1413
Copy
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