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1588279145
ELISA SEVERIANO BACILIO
VENTURA, CA
NPI
1588279145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
MS. ELISA SEVERIANO BACILIO
6862 HARMON DR
VENTURA, CA 93003-7146
Phone number: 805-766-3217
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Mailing Address
MS. ELISA SEVERIANO BACILIO
6862 HARMON DR
VENTURA, CA 93003-7146
Phone number: 805-766-3217
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