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Individual

ELLIS D PELLETIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
118 BENNETT DR, SUITE 140, CARIBOU, ME 04736-2052
(207) 498-6334
Mailing address
118 BENNETT DR, SUITE 140, CARIBOU, ME 04736-2052
(207) 498-6334

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT536
ME

Other

Enumeration date
08/06/2014
Last updated
08/06/2014
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