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1124834908
ETHAN AXTELL
ARCADIA, CA
NPI
1124834908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-12-06
Last Update Date
2024-12-06
Business Address
ETHAN AXTELL
800 S SANTA ANITA AVE
ARCADIA, CA 91006-3536
Phone number: 626-254-5000
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Mailing Address
ETHAN AXTELL
800 S SANTA ANITA AVE
ARCADIA, CA 91006-3536
Phone number:
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