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1073392718
JOSHUA THOMAS ELLINGTON
FAIRFIELD, CA
NPI
1073392718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-09-22
Last Update Date
2023-10-16
Business Address
Mr. JOSHUA THOMAS ELLINGTON
1745 ENTERPRISE DR
FAIRFIELD, CA 94533-5801
Phone number: 510-260-7967
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Mailing Address
Mr. JOSHUA THOMAS ELLINGTON
1745 ENTERPRISE DR
FAIRFIELD, CA 94533-5801
Phone number: 510-260-7967
Copy
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