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1467106914
ELLEN M GRANT
GARDENA, CA
NPI
1467106914
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Former Name
ELLEN MALINDA DAWES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-02-03
Last Update Date
2022-02-04
Business Address
ELLEN M GRANT None
1149 W. 190TH STREET, SUITE 2200
GARDENA, CA 90248
Phone number: 310-856-0800
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Mailing Address
ELLEN M GRANT None
18726 S. WESTERN AVENUE, SUITE 408
GARDENA, CA 90248
Phone number: 310-856-0800
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