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1023531340
KIMBERLY Y ELLIS
MANSFIELD, TX
NPI
1023531340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2017-07-18
Last Update Date
2017-07-18
Business Address
Mrs. KIMBERLY Y ELLIS
7365 GRANVILLE DR
MANSFIELD, TX 76063-4647
Phone number: 469-657-9165
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Mailing Address
Mrs. KIMBERLY Y ELLIS
7365 GRANVILLE DR
MANSFIELD, TX 76063-4647
Phone number: 469-657-9165
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