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Individual

ANNA ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-A

Contact information

Practice address
1237 S VAL VISTA DR STE 111, MESA, AZ 85204-6401
(480) 807-5410
(480) 396-0532
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA4890
AZ

Other

Enumeration date
02/04/2008
Last updated
08/16/2021
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