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1518233030
AMY L. ELLSWORTH
HUNTINGTON BEACH, CA
NPI
1518233030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 1035075)
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
Mrs. AMY L. ELLSWORTH RD
524 12TH STREET
HUNTINGTON BEACH, CA 92648-4034
Phone number: 714-376-4542
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Mailing Address
Mrs. AMY L. ELLSWORTH RD
PO BOX 5281
HUNTINGTON BEACH, CA 92615-5281
Phone number: 714-376-4542
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