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1720608185
IAN EDWARD CALLIS
SANTA CRUZ, CA
NPI
1720608185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2020-04-25
Last Update Date
2020-04-25
Business Address
IAN EDWARD CALLIS
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
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Mailing Address
IAN EDWARD CALLIS
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
Copy
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