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1083451918
TINA MARIE ELLIS
MINERAL WELLS, WV
NPI
1083451918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
TINA MARIE ELLIS Early Intervention
225 PLANTATION DR
MINERAL WELLS, WV 26150-9638
Phone number: 304-483-3077
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Mailing Address
TINA MARIE ELLIS Early Intervention
225 PLANTATION DR
MINERAL WELLS, WV 26150-9638
Phone number: 304-483-3077
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