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1174751408
AMEE ALENE ELLIS
MEDFORD, OR
NPI
1174751408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 1072189)
Enumeration Date
2009-06-25
Last Update Date
2009-06-25
Business Address
Ms. AMEE ALENE ELLIS OTL
835 CRATER LAKE AVE
MEDFORD, OR 97504-6505
Phone number: 541-773-7717
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Mailing Address
Ms. AMEE ALENE ELLIS OTL
PO BOX 8743
MEDFORD, OR 97501
Phone number:
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