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Individual

DAVID ELIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1155 N 21ST ST, NEWARK, OH 43055-3016
(740) 364-7013
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
019608
OH

Other

Enumeration date
09/06/2016
Last updated
05/20/2025
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