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1013124155
ELLEN LARA
NEW BEDFORD, MA
NPI
1013124155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- ELLEN LARA MA
30-32R GIFFORD ST
NEW BEDFORD, MA 02744
Phone number: 508-999-3126
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Mailing Address
-- ELLEN LARA MA
PO BOX 2097
NEW BEDFORD, MA 02741-2097
Phone number: 508-999-3126
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