Individual
DEBRA RUSHTON-ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(781) 337-4224
(781) 335-0429
Mailing address
830 OAK ST, SUITE 105W, BROCKTON, MA 02301-1168
(508) 427-3668
(508) 427-2610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
957
MA
Other
Enumeration date
09/13/2006
Last updated
01/04/2011
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