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1932969391
ETHAN ELLIS
CAMDEN, NJ
NPI
1932969391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-21
Last Update Date
2024-03-21
Business Address
ETHAN ELLIS D.O.
1 COOPER PLZ
CAMDEN, NJ 08103-1461
Phone number: 856-342-2000
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Mailing Address
ETHAN ELLIS D.O.
1 COOPER PLZ
CAMDEN, NJ 08103-1461
Phone number:
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