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1912964495
DAVID GARTH ELLERTSON
MODESTO, CA
NPI
1912964495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: CA G17987)
Enumeration Date
2006-04-27
Last Update Date
2015-02-12
Business Address
Mr. DAVID GARTH ELLERTSON M.D.
4101 TULLY RD SUITE 101
MODESTO, CA 95356-8980
Phone number: 209-524-8346
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Mailing Address
Mr. DAVID GARTH ELLERTSON M.D.
4101 TULLY RD SUITE 101
MODESTO, CA 95356-8980
Phone number: 209-524-8346
Copy
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