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1215784210
MATTHEW RYAN ELLIS
SANTA ANA, CA
NPI
1215784210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: CA MPSS-ITNBVL)
Enumeration Date
2024-05-06
Last Update Date
2024-07-26
Business Address
MATTHEW RYAN ELLIS
615 W CIVIC CENTER DR
SANTA ANA, CA 92701-4006
Phone number: 714-795-3444
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Mailing Address
MATTHEW RYAN ELLIS
PO BOX 299
CYPRESS, CA 90630-0299
Phone number: 714-650-6704
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