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1649708355
DOCK PHILLIP ELLIS
ENCINO, CA
NPI
1649708355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-05-24
Last Update Date
2022-07-21
Business Address
Mrs. DOCK PHILLIP ELLIS
16500 VENTURA BLVD
ENCINO, CA 91436-2011
Phone number: 818-788-1003
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Mailing Address
Mrs. DOCK PHILLIP ELLIS
28175 ALTON WAY
CASTAIC, CA 91384-3801
Phone number: 310-740-1353
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