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1588331243
KIRSTEN MARIE ELLIS
DAYTON, OH
NPI
1588331243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: KY 1157133)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
KIRSTEN MARIE ELLIS
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 513-237-1981
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Mailing Address
KIRSTEN MARIE ELLIS
6272 SHEARWATER DR
FAIRFIELD, OH 45014-4926
Phone number:
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