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Individual
VICKIE ELLIS
Active
Individual
VICKIE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
1122482
KY
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
28189828A
IN
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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