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1588155097
TAI ALEXANDER ELLIS
OREM, UT
NPI
1588155097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
TAI ALEXANDER ELLIS
475 W 260 N
OREM, UT 84057-1970
Phone number: 801-221-9930
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Mailing Address
TAI ALEXANDER ELLIS
475 W 260 N
OREM, UT 84057-1970
Phone number:
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