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1316508930
AMANDA ELLIS
SAGINAW, MI
NPI
1316508930
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Former Name
AMANDA SMALLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-06-25
Last Update Date
2019-09-26
Business Address
AMANDA ELLIS
300 SAINT ANDREWS RD STE 408
SAGINAW, MI 48638
Phone number: 989-401-9020
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Mailing Address
AMANDA ELLIS
PO BOX 663
LAKELAND, MI 48143-0663
Phone number: 810-559-2129
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