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1992267728
MICAH ZEB ELLOWITZ
MAYWOOD, IL
NPI
1992267728
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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
2019-04-01
Last Update Date
2019-04-01
Business Address
MICAH ZEB ELLOWITZ
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-5522
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Mailing Address
MICAH ZEB ELLOWITZ
307 BENEDICT RD
EL PASO, TX 79922-1205
Phone number: 915-920-3421
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