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Individual
NATHAN JAI ELLIS
Active
Individual
NATHAN JAI ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN60226347
WA
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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