CHARLIE LAVERNE ELLIS

LEESBURG, GA
NPI1023827516
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: GA  ota001662)
Enumeration Date2024-12-30
Last Update Date2024-12-30
Business Address
CHARLIE LAVERNE ELLIS
119 JEFFERSON CT
LEESBURG, GA 31763-4920
Phone number: 229-869-3919
Mailing Address
CHARLIE LAVERNE ELLIS
119 JEFFERSON CT
LEESBURG, GA 31763-4920
Phone number: 229-869-3919
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