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1689276388
LISA VENEE ELLIS
WOOSTER, OH
NPI
1689276388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
LISA VENEE ELLIS
916 N GRANT ST
WOOSTER, OH 44691-2828
Phone number: 970-210-0597
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Mailing Address
LISA VENEE ELLIS
916 N GRANT ST
WOOSTER, OH 44691-2828
Phone number: 970-210-0597
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