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Individual

DR. ELIZABETH ANN ELLENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1601 MOUNT RUSHMORE RD, SUITE 5, RAPID CITY, SD 57701-4591
(605) 348-7401
(605) 348-9773
Mailing address
1601 MOUNT RUSHMORE RD, SUITE 5, RAPID CITY, SD 57701-4591
(605) 348-7401
(605) 348-9773

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T572
SD

Other

Enumeration date
11/13/2006
Last updated
07/08/2007
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