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1164875324
JOSHUA ELLIS-KENNEDY
COLTON, CA
NPI
1164875324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-07-22
Last Update Date
2016-08-05
Business Address
-- JOSHUA ELLIS-KENNEDY
1330 E COOLEY DR
COLTON, CA 92324-3905
Phone number: 909-561-4803
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Mailing Address
-- JOSHUA ELLIS-KENNEDY
1330 E COOLEY DR
COLTON, CA 92324-3905
Phone number: 909-561-4803
Copy
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