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1275175374
ELLIS J WADDELL
COLUMBUS, GA
NPI
1275175374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-10-10
Last Update Date
2019-10-10
Business Address
ELLIS J WADDELL RBT
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 706-780-1704
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Mailing Address
ELLIS J WADDELL RBT
1800 LAKEWOOD DR
PHENIX CITY, AL 36867-1867
Phone number:
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