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1033937149
ELLIS TRAVERS
PHILADELPHIA, PA
NPI
1033937149
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: PA 20215)
Enumeration Date
2024-09-27
Last Update Date
2024-09-27
Business Address
ELLIS TRAVERS CCHW
1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147-1810
Phone number: 215-563-0658
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Mailing Address
ELLIS TRAVERS CCHW
1348 BAINBRIDGE ST
PHILADELPHIA, PA 19147-1810
Phone number: 215-563-0658
Copy
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