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1780183376
MADELINE ELLIS
ROSEVILLE, CA
NPI
1780183376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-02-08
Last Update Date
2018-02-08
Business Address
MADELINE ELLIS
2151 PROFESSIONAL DR STE 100
ROSEVILLE, CA 95661-3761
Phone number: 916-771-0520
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Mailing Address
MADELINE ELLIS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number:
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