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1780176008
KIM ELLIS
OAKLAND, CA
NPI
1780176008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
KIM ELLIS
629 OAKLAND AVE
OAKLAND, CA 94611-4567
Phone number: 415-340-2504
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Mailing Address
KIM ELLIS
629 OAKLAND AVE
OAKLAND, CA 94611-4567
Phone number: 415-340-2504
Copy
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