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1003907916
LAURENCE STEVEN ELLNER
FREMONT, CA
NPI
1003907916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: CA E3746)
Enumeration Date
2006-09-27
Last Update Date
2012-11-12
Business Address
-- LAURENCE STEVEN ELLNER DPM
2287 MOWRY AVE STE C
FREMONT, CA 94538-1622
Phone number: 510-713-6559
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Mailing Address
-- LAURENCE STEVEN ELLNER DPM
2287 MOWRY AVE STE C
FREMONT, CA 94538-1622
Phone number: 510-713-6559
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