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1124064233
MAVONNA MARIE ELLIS
STILLWATER, OK
NPI
1124064233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 3974)
Enumeration Date
2006-06-20
Last Update Date
2008-10-15
Business Address
Dr. MAVONNA MARIE ELLIS PHD
1616 S AUGUST ST
STILLWATER, OK 74074-1837
Phone number: 405-564-0656
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Mailing Address
Dr. MAVONNA MARIE ELLIS PHD
1616 S AUGUST ST
STILLWATER, OK 74074-1837
Phone number: 405-564-0656
Copy
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