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1528659125
LISA MARIE ELLIS
RIVERSIDE, CA
NPI
1528659125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
LISA MARIE ELLIS
9890 COUNTY FARM RD STE 3
RIVERSIDE, CA 92503-3678
Phone number: 951-509-8320
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Mailing Address
LISA MARIE ELLIS
4575 LYON AVE
RIVERSIDE, CA 92505-3454
Phone number: 951-224-1263
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