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1780265140
JACY C CABAEL-TELLIS
HONOLULU, HI
NPI
1780265140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-04-17
Last Update Date
2021-04-17
Business Address
JACY C CABAEL-TELLIS
2500 CAMPUS RD
HONOLULU, HI 96822-2217
Phone number: 808-956-8111
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Mailing Address
JACY C CABAEL-TELLIS
2069 CALIFORNIA AVE APT 14H
WAHIAWA, HI 96786-2779
Phone number: 808-386-4056
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