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1619523230
ELLIE MAITES
LAWRENCE, KS
NPI
1619523230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-08-11
Last Update Date
2019-12-21
Business Address
ELLIE MAITES
1040 MISSISSIPPI ST APT 9
LAWRENCE, KS 66044-2906
Phone number: 847-830-5525
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Mailing Address
ELLIE MAITES
1040 MISSISSIPPI ST APT 9
LAWRENCE, KS 66044-2906
Phone number:
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