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1851798615
JAZIMINE ELLIS
WEST ALLIS, WI
NPI
1851798615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-11-21
Last Update Date
2014-11-21
Business Address
-- JAZIMINE ELLIS
2222 S 114TH ST
WEST ALLIS, WI 53227-1031
Phone number: 414-449-4444
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Mailing Address
-- JAZIMINE ELLIS
2222 S 114TH ST
WEST ALLIS, WI 53227-1031
Phone number: 414-449-4444
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