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1821840083
CARRIE LYNN ELLISON
RIVERSIDE, CA
NPI
1821840083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
Mrs. CARRIE LYNN ELLISON
1845 CHICAGO AVE STE B
RIVERSIDE, CA 92507-2366
Phone number: 951-465-3664
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Mailing Address
Mrs. CARRIE LYNN ELLISON
1845 CHICAGO AVE STE B
RIVERSIDE, CA 92507-2366
Phone number: 951-809-0424
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