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1861186017
LISA ELLIS
MIDWEST CITY, OK
NPI
1861186017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
LISA ELLIS
1121 S DOUGLAS BLVD STE A
MIDWEST CITY, OK 73130-5210
Phone number: 405-582-3990
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Mailing Address
LISA ELLIS
1121 S DOUGLAS BLVD STE A
MIDWEST CITY, OK 73130-5210
Phone number: 405-582-3990
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