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1255109765
CHARLES ELLIS
WASHINGTON, DC
NPI
1255109765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-12-13
Last Update Date
2023-12-13
Business Address
CHARLES ELLIS
1301 LENFANT SQ SE
WASHINGTON, DC 20020-6724
Phone number: 202-509-3525
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Mailing Address
CHARLES ELLIS
1301 LENFANT SQ SE
WASHINGTON, DC 20020-6724
Phone number: 202-509-3525
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