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1396743217
ELLEN PEREZ TRAVIS
SAN JOSE, CA
NPI
1396743217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 418417-9309)
Enumeration Date
2005-07-13
Last Update Date
2023-03-07
Business Address
-- ELLEN PEREZ TRAVIS NP
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 408-885-6780
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Mailing Address
-- ELLEN PEREZ TRAVIS NP
542 VALLEY FORGE WAY
CAMPBELL, CA 95008-0547
Phone number: 408-793-6771
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