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1164203097
ELLERY PHILIP RUIZ
SANTA CLARA, CA
NPI
1164203097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-10-06
Last Update Date
2023-10-06
Business Address
MR. ELLERY PHILIP RUIZ
3311 KIFER RD
SANTA CLARA, CA 95051-0708
Phone number: 510-424-8460
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Mailing Address
MR. ELLERY PHILIP RUIZ
3311 KIFER RD
SANTA CLARA, CA 95051-0708
Phone number: 408-444-0772
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