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1598383283
SHELBY LYN ELLIS
IDAHO FALLS, ID
NPI
1598383283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-07-08
Last Update Date
2020-07-08
Business Address
SHELBY LYN ELLIS
1975 BELMONT AVE
IDAHO FALLS, ID 83404-6409
Phone number: 208-716-1027
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Mailing Address
SHELBY LYN ELLIS
1975 BELMONT AVE
IDAHO FALLS, ID 83404-6409
Phone number:
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