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1013488238
CHANELLE ELLIS
LANCASTER, CA
NPI
1013488238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-12-16
Last Update Date
2023-02-13
Business Address
CHANELLE ELLIS
44421 10TH ST W
LANCASTER, CA 93534-3335
Phone number: 818-654-3912
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Mailing Address
CHANELLE ELLIS
44421 10TH ST W
LANCASTER, CA 93534-3335
Phone number: 818-654-3912
Copy
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