GRANT J ELLIS

WEST TERRE HAUTE, IN
NPI1346052966
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2025-01-21
Last Update Date2025-01-21
Business Address
GRANT J ELLIS
10 N CHURCH ST
WEST TERRE HAUTE, IN 47885-1202
Phone number: 812-201-5763
Mailing Address
GRANT J ELLIS
10 N CHURCH ST
WEST TERRE HAUTE, IN 47885-1202
Phone number: 812-201-5763
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