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1922105568
PHILLIP ELLEGOOD
MADISONVILLE, KY
NPI
1922105568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 1949A)
Enumeration Date
2006-09-17
Last Update Date
2007-12-07
Business Address
-- PHILLIP ELLEGOOD CRNA
200 CLINIC DR
MADISONVILLE, KY 42431-1661
Phone number: 270-825-7200
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Mailing Address
-- PHILLIP ELLEGOOD CRNA
200 CLINIC DR
MADISONVILLE, KY 42431-1661
Phone number: 270-825-7200
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