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1902188949
WACONDA ELLIS
NORTH LAS VEGAS, NV
NPI
1902188949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2011-09-15
Last Update Date
2011-09-15
Business Address
-- WACONDA ELLIS
5304 DAYWOOD ST
NORTH LAS VEGAS, NV 89031-7917
Phone number: 702-649-5995
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Mailing Address
-- WACONDA ELLIS
5304 DAYWOOD ST
NORTH LAS VEGAS, NV 89031-7917
Phone number: 702-649-5995
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