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1528202173
TERRANCE F ELLIS
MURRIETA, CA
NPI
1528202173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-04-27
Last Update Date
2009-04-27
Business Address
-- TERRANCE F ELLIS
41870 KALMIA ST
MURRIETA, CA 92562-8839
Phone number: 951-696-3501
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Mailing Address
-- TERRANCE F ELLIS
41870 KALMIA ST
MURRIETA, CA 92562-8839
Phone number: 951-696-3501
Copy
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