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Individual

EMILY DICKSON ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
408 FAIRWAY DR, NEW ORLEANS, LA 70124-1023
(504) 739-8451

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/11/2022
Last updated
04/11/2022
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