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Individual
HARVEY JOE ELLIS
Active
Individual
HARVEY JOE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP,LP
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
Y0000040
MD
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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