ELLIS TIMOTHY CHARLES

SHERIDAN, WY
NPI1871029314
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251C00000X Day Training, Developmentally Disabled Services
Enumeration Date2017-05-03
Last Update Date2017-05-03
Business Address
-- ELLIS TIMOTHY CHARLES
511 GLADSTONE ST 511 GLADSTONE STREET
SHERIDAN, WY 82801-4830
Phone number: 307-752-9082
Mailing Address
-- ELLIS TIMOTHY CHARLES
511 GLADSTONE ST
SHERIDAN, WY 82801-4830
Phone number: 307-752-9082
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