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Individual
W ALEXANDER ELLIS
Active
Individual
W ALEXANDER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A140782
CA
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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