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1124416797
DAVID ELLIS BUSBY
SAN RAFAEL, CA
NPI
1124416797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-01-05
Last Update Date
2015-01-05
Business Address
-- DAVID ELLIS BUSBY
29 MARY ST
SAN RAFAEL, CA 94901-3507
Phone number: 415-847-1112
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Mailing Address
-- DAVID ELLIS BUSBY
29 MARY ST
SAN RAFAEL, CA 94901-3507
Phone number: 415-847-1112
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