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Organization

THE ELLISON NURSING GROUP, LLC.

Active
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Organization

THE ELLISON NURSING GROUP, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZE DESIRE-JEANTINE (NURSE)
(267) 513-1722
Entity
Organization

Contact information

Practice address
500 OFFICE CENTER DR, SUITE 400, FORT WASHINGTON, PA 19034-3219
(267) 513-1722
(267) 513-1728
Mailing address
500 OFFICE CENTER DR, SUITE 400, FORT WASHINGTON, PA 19034-3219
(267) 513-1722
(267) 513-1728

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
PN293516
PA

Other

Enumeration date
01/17/2013
Last updated
01/17/2013
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