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1720790868
MADISON ELLSWORTH
WEST JORDAN, UT
NPI
1720790868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2022-12-20
Last Update Date
2022-12-20
Business Address
MADISON ELLSWORTH
1970 W 7800 S
WEST JORDAN, UT 84088-4025
Phone number: 801-268-4887
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Mailing Address
MADISON ELLSWORTH
1970 W 7800 S
WEST JORDAN, UT 84088-4025
Phone number:
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