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1023631546
JENNIFER HOLLY ELLIS
KERNERSVILLE, NC
NPI
1023631546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
JENNIFER HOLLY ELLIS
418 W MOUNTAIN ST STE B
KERNERSVILLE, NC 27284-2534
Phone number: 336-904-5464
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Mailing Address
JENNIFER HOLLY ELLIS
418 W MOUNTAIN ST STE B
KERNERSVILLE, NC 27284-2534
Phone number:
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