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1558860189
KATYRA ELLIS
GAINESVILLE, FL
NPI
1558860189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-02-09
Last Update Date
2018-02-09
Business Address
KATYRA ELLIS
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
KATYRA ELLIS
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number:
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