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1225016934
JENNIFER L ELLIS
INDIANAPOLIS, IN
NPI
1225016934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
174400000X Specialist
(Licence: IN 05004851A)
Enumeration Date
2006-01-03
Last Update Date
2007-07-09
Business Address
JENNIFER L ELLIS P.T.
7440 N SHADELAND AVE SUITE 130
INDIANAPOLIS, IN 46250-2029
Phone number: 317-577-7333
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Mailing Address
JENNIFER L ELLIS P.T.
1530 SAINT JOHN CT S
BEECH GROVE, IN 46107-2631
Phone number: 317-408-2752
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