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1013415736
JENNIFER ANNE ELLIS
TACOMA, WA
NPI
1013415736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA 60812740)
Enumeration Date
2018-01-28
Last Update Date
2018-01-28
Business Address
JENNIFER ANNE ELLIS
1010 S L ST
TACOMA, WA 98405-4035
Phone number: 253-267-8787
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Mailing Address
JENNIFER ANNE ELLIS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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