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1235277872
PAUL ELLSWORTH FRACOLLI
FREMONT, CA
NPI
1235277872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 29047)
Enumeration Date
2007-02-04
Last Update Date
2007-07-08
Business Address
Dr. PAUL ELLSWORTH FRACOLLI D.D.S.
39572 STEVENSON PL 231
FREMONT, CA 94539-3075
Phone number: 510-795-2260
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Mailing Address
Dr. PAUL ELLSWORTH FRACOLLI D.D.S.
39572 STEVENSON PL 231
FREMONT, CA 94539-3075
Phone number: 510-795-2260
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