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1003031808
HEATHER A ELLENS
YUCCA VALLEY, CA
NPI
1003031808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- HEATHER A ELLENS
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number: 760-365-3022
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Mailing Address
-- HEATHER A ELLENS
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number: 760-365-3022
Copy
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