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1578613386
BORIS D. ELLYASON
ROSEVILLE, CA
NPI
1578613386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA A70408)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
BORIS D. ELLYASON MD
1600 EUREKA RD
ROSEVILLE, CA 95661-3027
Phone number: 916-784-4000
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Mailing Address
BORIS D. ELLYASON MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262
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