JAMES BRAYTON ELLIS

KENTON, OH
NPI1013407113
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: OH  s1701216)
Enumeration Date2018-05-14
Last Update Date2018-05-14
Business Address
JAMES BRAYTON ELLIS
775 E ELIZA ST
KENTON, OH 43326-1486
Phone number: 419-675-2243
Mailing Address
JAMES BRAYTON ELLIS
775 E ELIZA ST
KENTON, OH 43326-1486
Phone number: 419-675-2243
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