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Individual

DR. DEAN S. ELLYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
605 E ST, MARYSVILLE, CA 95901-5502
(530) 743-2093
Mailing address
605 E ST, MARYSVILLE, CA 95901-5502
(530) 743-2093

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11189
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111890
STATE LISCENCE NUMBER
CA
Enumeration date
04/14/2008
Last updated
04/14/2008
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