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1053696278
TELLIES J MAYERS
CARSON, CA
NPI
1053696278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-10-19
Last Update Date
2011-10-19
Business Address
-- TELLIES J MAYERS
18106 COLTMAN AVE
CARSON, CA 90746-1734
Phone number: 310-756-6392
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Mailing Address
-- TELLIES J MAYERS
18106 COLTMAN AVE
CARSON, CA 90746-1734
Phone number: 310-756-6392
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