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Individual
ELLEN ELMORE
Active
Individual
ELLEN ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6418
AK
207Q00000X
Family Medicine Physician
8800
HI
207Q00000X
Family Medicine Physician
Primary
P2852
TX
Other
Enumeration date
03/25/2008
Last updated
05/03/2013
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