CRYSTAL R ELLIS

MONROE, LA
NPI1487969168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: LA  Z12381)
Enumeration Date2010-08-18
Last Update Date2010-08-18
Business Address
-- CRYSTAL R ELLIS OT
1828 TOWER DR
MONROE, LA 71201-4938
Phone number: 318-338-2081
Mailing Address
-- CRYSTAL R ELLIS OT
109 CASTOR CV
CALHOUN, LA 71225-9301
Phone number: 318-644-2797
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