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1417692088
KAITLIN EMMA ELLINGSWORTH
SHAKOPEE, MN
NPI
1417692088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-28
Last Update Date
2022-04-28
Business Address
KAITLIN EMMA ELLINGSWORTH
4201 DEAN LAKES BLVD
SHAKOPEE, MN 55379-2829
Phone number: 612-509-6680
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Mailing Address
KAITLIN EMMA ELLINGSWORTH
27750 TEALE AVE
NEW PRAGUE, MN 56071-8870
Phone number:
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