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1255088894
SUSANA T ELLIS
LANCASTER, CA
NPI
1255088894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-03-03
Last Update Date
2022-03-03
Business Address
SUSANA T ELLIS
44421 10TH ST W STE A
LANCASTER, CA 93534-3335
Phone number: 818-654-3912
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Mailing Address
SUSANA T ELLIS
44421 10TH ST W STE A
LANCASTER, CA 93534-3335
Phone number: 181-865-4391
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