STEPHANIE M ELLIS

PEORIA, IL
NPI1922313238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2010-08-11
Last Update Date2010-08-11
Business Address
Mrs. STEPHANIE M ELLIS PA
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614-4676
Phone number: 309-674-7546
Mailing Address
Mrs. STEPHANIE M ELLIS PA
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614-4676
Phone number: 309-674-7546
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