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Individual

MARGERY ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
601 S COLLEGE RD, ATHLETICS, WILMINGTON, NC 28403-3201
(910) 962-2036
Mailing address
502 PLUM NEARLY LN APT E, WILMINGTON, NC 28403-2759

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1033
NC

Other

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