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1134878663
MARSHALL ELLISON
SACRAMENTO, CA
NPI
1134878663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-22
Last Update Date
2022-03-30
Business Address
MARSHALL ELLISON
4150 V ST STE 1102
SACRAMENTO, CA 95817-1460
Phone number: 916-734-3331
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Mailing Address
MARSHALL ELLISON
4150 V ST STE 1102
SACRAMENTO, CA 95817-1460
Phone number: 916-734-3331
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