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Individual

DR. JOHN E ELLSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2181 OLYMPIC ST, SPRINGFIELD, OH 45503-2767
(937) 390-9080
(937) 390-9075
Mailing address
2181 OLYMPIC ST, SPRINGFIELD, OH 45503-2767
(937) 390-9080
(937) 390-9075

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3684
OH

Other

Enumeration date
06/09/2006
Last updated
12/15/2010
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