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1265036313
SHELLY ELLISON
VANCOUVER, WA
NPI
1265036313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-11-29
Last Update Date
2020-11-29
Business Address
SHELLY ELLISON
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6055
Phone number: 800-813-2000
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Mailing Address
SHELLY ELLISON
722 NW 24TH AVE APT 108
PORTLAND, OR 97210-3242
Phone number:
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