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Individual

MR. DONALD DEAN ELLSWORTH

Active
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Individual

MR. DONALD DEAN ELLSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP-BC

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP2151382
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
309007800
FL
Enumeration date
03/05/2008
Last updated
06/08/2016
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