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1285026302
ROBERT BRIAN ELLISON
EL CAJON, CA
NPI
1285026302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-02-26
Last Update Date
2015-08-04
Business Address
-- ROBERT BRIAN ELLISON
1664 BROADWAY
EL CAJON, CA 92021-5201
Phone number: 619-579-8685
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Mailing Address
-- ROBERT BRIAN ELLISON
1664 BROADWAY
EL CAJON, CA 92021-5201
Phone number: 619-579-8685
Copy
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