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1407057102
AVERY ERIC ELIAS
FAIRFIELD, CA
NPI
1407057102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2007-05-30
Last Update Date
2023-06-02
Business Address
AVERY ERIC ELIAS MHSII
2101 COURAGE DR M.S.10-300
FAIRFIELD, CA 94533-6717
Phone number: 707-784-2046
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Mailing Address
AVERY ERIC ELIAS MHSII
2101 COURAGE DR M.S.10-300
FAIRFIELD, CA 94533-6717
Phone number: 707-784-2046
Copy
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