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1548976202
ANGELA LUANA ELLIS
REXBURG, ID
NPI
1548976202
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Former Name
ANGELA LUANA NEUMANN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-41785)
Enumeration Date
2023-01-26
Last Update Date
2023-01-26
Business Address
ANGELA LUANA ELLIS LMSW
450 E MAIN ST
REXBURG, ID 83440-2048
Phone number: 208-359-7689
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Mailing Address
ANGELA LUANA ELLIS LMSW
450 E MAIN ST
REXBURG, ID 83440-2048
Phone number: 208-359-7689
Copy
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