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1043364458
COLETTE LEONIE ELLIS
CHICKASHA, OK
NPI
1043364458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OK 327)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Mrs. COLETTE LEONIE ELLIS M.Ed.,CCC-SLP
1211 S 29TH ST
CHICKASHA, OK 73018-9651
Phone number: 405-224-0002
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Mailing Address
Mrs. COLETTE LEONIE ELLIS M.Ed.,CCC-SLP
415 FIELDCREST DR
CHICKASHA, OK 73018-7755
Phone number: 405-921-2979
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