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1154038826
CODY ELLIS
MODESTO, CA
NPI
1154038826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
CODY ELLIS
1115 14TH ST
MODESTO, CA 95354-1003
Phone number: 209-572-2589
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Mailing Address
CODY ELLIS
PO BOX 5157
MODESTO, CA 95352-5157
Phone number:
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