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1871790196
HJORDIS ELLIS
VICTORVILLE, CA
NPI
1871790196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
-- HJORDIS ELLIS
15447 ANACAPA RD SUITE 104
VICTORVILLE, CA 92392-2481
Phone number: 760-245-9446
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Mailing Address
-- HJORDIS ELLIS
PO BOX 7369
REDLANDS, CA 92375-0369
Phone number: 909-335-7067
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