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1568886182
LEISA SUZANNE ELLIOTT
CERES, CA
NPI
1568886182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 248398)
Enumeration Date
2014-02-18
Last Update Date
2014-02-18
Business Address
MS. LEISA SUZANNE ELLIOTT
1904 RICHLAND AVE SUITE A
CERES, CA 95307-4562
Phone number: 209-300-8800
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Mailing Address
MS. LEISA SUZANNE ELLIOTT
3821 MONTEVIEW DR
MODESTO, CA 95355-1141
Phone number:
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