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Individual

ANNE CALLIS ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN RN

Contact information

Practice address
227 W POPLAR ST, HARRISBURG, IL 62946-1421
(618) 552-9841
Mailing address
227 W POPLAR ST, HARRISBURG, IL 62946-1421
(618) 294-6591

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041477985
IL

Other

Enumeration date
11/03/2023
Last updated
11/03/2023
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