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1194558684
MYLAH MARIE ELLIS
TORRANCE, CA
NPI
1194558684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
MYLAH MARIE ELLIS
21515 HAWTHORNE BLVD STE GL-100
TORRANCE, CA 90503-6501
Phone number: 424-571-2618
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Mailing Address
MYLAH MARIE ELLIS
21801 FOLEY AVE
CARSON, CA 90745-3428
Phone number: 310-720-7548
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