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1306085675
SUSAN D ELLISON
MUNCIE, IN
NPI
1306085675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-02-11
Last Update Date
2009-02-11
Business Address
-- SUSAN D ELLISON
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
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Mailing Address
-- SUSAN D ELLISON
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
Copy
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