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1922288380
MARY JEAN ELLSWORTH
VISALIA, CA
NPI
1922288380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 155127)
Enumeration Date
2007-11-13
Last Update Date
2009-07-08
Business Address
Mrs. MARY JEAN ELLSWORTH RN, PHN
2325 W MAIN ST
VISALIA, CA 93291-4599
Phone number: 559-624-1097
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Mailing Address
Mrs. MARY JEAN ELLSWORTH RN, PHN
330 CAMPUS DR
HANFORD, CA 93230-4375
Phone number: 559-582-3211
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