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1285821256
STACEY L ELLIS
EUREKA, CA
NPI
1285821256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225000000X Orthotic Fitter
Enumeration Date
2007-10-03
Last Update Date
2007-10-03
Business Address
STACEY L ELLIS
2773 HARRIS ST STE C
EUREKA, CA 95503-4866
Phone number: 707-444-0116
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Mailing Address
STACEY L ELLIS
2773 HARRIS ST STE C
EUREKA, CA 95503-4866
Phone number: 707-444-0116
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