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1164107827
JAYA ELLIS
FORT WAYNE, IN
NPI
1164107827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
JAYA ELLIS
2825 HILLEGAS RD
FORT WAYNE, IN 46808-3859
Phone number: 260-338-1241
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Mailing Address
JAYA ELLIS
4935 HILLEGAS RD
FORT WAYNE, IN 46818-1906
Phone number:
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