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1255886008
ALAN MICHAEL ELLIS
SAN LEANDRO, CA
NPI
1255886008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-08-22
Last Update Date
2016-08-22
Business Address
ALAN MICHAEL ELLIS
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1445
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Mailing Address
ALAN MICHAEL ELLIS
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1445
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