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1538489752
EBONI ELLIS
NORTH LITTLE ROCK, AR
NPI
1538489752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-06-10
Last Update Date
2010-06-10
Business Address
-- EBONI ELLIS MHPP
4701 FAIRWAY AVE
NORTH LITTLE ROCK, AR 72116-8066
Phone number: 501-771-8261
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Mailing Address
-- EBONI ELLIS MHPP
6900 CANTRELL RD APARTMENT Q101
LITTLE ROCK, AR 72207-4160
Phone number: 501-256-3403
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