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1871116913
STEW ELLINGTON
OAKLAND, CA
NPI
1871116913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-23
Last Update Date
2020-05-23
Business Address
STEW ELLINGTON
420 AVON ST
OAKLAND, CA 94618-1024
Phone number: 510-517-4313
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Mailing Address
STEW ELLINGTON
222 SE 8TH AVE STE 536
HILLSBORO, OR 97123-4218
Phone number: 503-352-7272
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