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1467759340
JERMONA SHANTIA ELLIS
ALBUQUERQUE, NM
NPI
1467759340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NM x-07204)
Enumeration Date
2011-02-11
Last Update Date
2011-02-11
Business Address
-- JERMONA SHANTIA ELLIS LNSW
13110 CONSTITUTION AVE NE APT 622
ALBUQUERQUE, NM 87112-6153
Phone number: 505-312-7380
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Mailing Address
-- JERMONA SHANTIA ELLIS LNSW
13110 CONSTITUTION AVE NE APT 622
ALBUQUERQUE, NM 87112-6153
Phone number: 505-312-7380
Copy
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