DALE EDWIN ELLIS

MORGANTON, NC
NPI1932119435
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  100890)
Enumeration Date2006-08-08
Last Update Date2013-05-23
Business Address
Mr. DALE EDWIN ELLIS
1000 S STERLING ST
MORGANTON, NC 28655
Phone number: 828-433-2235
Mailing Address
Mr. DALE EDWIN ELLIS
304 SHADY REST ROAD
MORGANTON, NC 28655
Phone number: 828-439-8506
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