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Mary Elledge
NPI 1336576966 · on the registry since 2013
Practice
- Address
- 513 S.W. Bruce St.
Langston, OK 73050 - Phone
- (405) 412-8020
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Female
- Record last updated
- 2013-09-27
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 Oklahoma