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1265696025
EDWARD JACOB ELLES
HILO, HI
NPI
1265696025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: HI LCSW3409)
Enumeration Date
2008-07-10
Last Update Date
2008-07-10
Business Address
Mr. EDWARD JACOB ELLES LCSW
120 PAUAHI ST SUITE 207
HILO, HI 96720-3067
Phone number: 808-854-5711
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Mailing Address
Mr. EDWARD JACOB ELLES LCSW
PO BOX 492660
KEAAU, HI 96749-2660
Phone number: 808-854-5711
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