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Individual
MRS. JAMIE LYNN ELLIS - WITTENHAGEN
Active
Individual
MRS. JAMIE LYNN ELLIS - WITTENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.064533
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
007284
AZ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
DO188703
OR
Other
Enumeration date
12/23/2013
Last updated
01/25/2022
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