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1558705749
SEAN ELY
GRASS VALLEY, CA
NPI
1558705749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 438825)
Enumeration Date
2013-04-18
Last Update Date
2013-04-18
Business Address
-- SEAN ELY
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
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Mailing Address
-- SEAN ELY
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-273-9541
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