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1174089072
CHARLENE DENISE ELLISON
LAUREL, MD
NPI
1174089072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2019-02-15
Last Update Date
2019-02-15
Business Address
CHARLENE DENISE ELLISON
14200 LAUREL PARK DR
LAUREL, MD 20707-5201
Phone number: 410-792-4717
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Mailing Address
CHARLENE DENISE ELLISON
14200 LAUREL PARK DR
LAUREL, MD 20707-5201
Phone number:
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