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Dominique Ellison
NPI 1144754482 · on the registry since 2017 · sole proprietor
Practice
- Address
- 301 Dalzell St
Shreveport, LA 71104 - Phone
- (318) 200-9156
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2017-04-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana