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1457129264
ANGELA KELLEY ELLLIS
VICKSBURG, MS
NPI
1457129264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YS0200X Counselor School
(Licence: MS 159347)
Enumeration Date
2023-12-12
Last Update Date
2023-12-12
Business Address
ANGELA KELLEY ELLLIS
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
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Mailing Address
ANGELA KELLEY ELLLIS
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
Copy
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