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1972716033
JOSHUA ELLISON
SPRINGFIELD, IL
NPI
1972716033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036122607)
Enumeration Date
2007-05-07
Last Update Date
2012-05-11
Business Address
-- JOSHUA ELLISON MD
3220 ATLANTA ST
SPRINGFIELD, IL 62707-8801
Phone number: 217-588-7400
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Mailing Address
-- JOSHUA ELLISON MD
3220 ATLANTA ST
SPRINGFIELD, IL 62707-8801
Phone number: 217-588-7400
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