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1376013326
JIMMY LEE ELLIS
AVONDALE, AZ
NPI
1376013326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Additional Taxonomies
374U00000X Home Health Aide
376J00000X Homemaker
Enumeration Date
2018-12-03
Last Update Date
2019-01-05
Business Address
Mr. JIMMY LEE ELLIS
105 N LINKS DR APT 1061
AVONDALE, AZ 85323-3046
Phone number: 480-487-8480
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Mailing Address
Mr. JIMMY LEE ELLIS
3420 E SHEA BLVD STE 204
PHOENIX, AZ 85028-3345
Phone number: 480-487-8480
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