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1336974393
SHONA LATICIA ELLIS
RANCHO CUCAMONGA, CA
NPI
1336974393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-09-07
Last Update Date
2024-09-07
Business Address
SHONA LATICIA ELLIS
11799 SEBASTIAN WAY STE 103
RANCHO CUCAMONGA, CA 91730-0708
Phone number: 909-357-7547
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Mailing Address
SHONA LATICIA ELLIS
PO BOX 791
BANNING, CA 92220-0006
Phone number: 951-640-9188
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