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1922403450
CHARLES ELLIS
SALISBURY, MD
NPI
1922403450
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Other Name
CHARLES GABRIEL ELLIS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C05576)
Enumeration Date
2014-10-27
Last Update Date
2014-10-27
Business Address
-- CHARLES ELLIS
1675 WOODBROOKE DR
SALISBURY, MD 21804-8502
Phone number: 410-749-4154
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Mailing Address
-- CHARLES ELLIS
1675 WOODBROOKE DR
SALISBURY, MD 21804-8502
Phone number: 410-749-4154
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