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1922625326
JORDIN LEE ELLINGSON
OLDSMAR, FL
NPI
1922625326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9113176)
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
JORDIN LEE ELLINGSON PA-C
3919 TAMPA RD
OLDSMAR, FL 34677-3114
Phone number: 727-733-6111
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Mailing Address
JORDIN LEE ELLINGSON PA-C
4109 E 99TH AVE
TAMPA, FL 33617-4434
Phone number: 706-499-0203
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