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1740226000
DALE ALLAN ELLESON
FREMONT, CA
NPI
1740226000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: CA 20A4511)
Enumeration Date
2006-06-22
Last Update Date
2007-07-08
Business Address
-- DALE ALLAN ELLESON DO
2557 MOWRY AVE #30
FREMONT, CA 94538
Phone number: 510-797-9999
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Mailing Address
-- DALE ALLAN ELLESON DO
2557 MOWRY AVE #30
FREMONT, CA 94538
Phone number: 510-797-9999
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