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1588945299
JAY H. ELLENS
YUCCA VALLEY, CA
NPI
1588945299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-09-08
Last Update Date
2011-09-08
Business Address
-- JAY H. ELLENS
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number: 760-365-3022
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Mailing Address
-- JAY H. ELLENS
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number:
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