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1851982821
ELLEN BOURNE
VICTORVILLE, CA
NPI
1851982821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-02-01
Last Update Date
2021-02-01
Business Address
ELLEN BOURNE
15095 AMARGOSA RD
VICTORVILLE, CA 92394-1879
Phone number: 760-245-4695
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Mailing Address
ELLEN BOURNE
15095 AMARGOSA RD
VICTORVILLE, CA 92394-1879
Phone number: 760-245-4695
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