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1043974827
GAVIN ALEXANDER ELLIS
SACRAMENTO, CA
NPI
1043974827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
GAVIN ALEXANDER ELLIS
9343 TECH CENTER DR # 50
SACRAMENTO, CA 95826-2563
Phone number: 916-388-6400
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Mailing Address
GAVIN ALEXANDER ELLIS
9343 TECH CENTER DR # 50
SACRAMENTO, CA 95826-2563
Phone number: 916-338-6400
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