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1598521791
ANTESHA SHONTE ELLIS
TORRANCE, CA
NPI
1598521791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
ANTESHA SHONTE ELLIS
23740 HAWTHORNE BLVD STE 104
TORRANCE, CA 90505-8206
Phone number: 855-223-7123
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Mailing Address
ANTESHA SHONTE ELLIS
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 909-762-9994
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