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1902516339
CONSTANCE J ELLIS
ROCKFORD, IL
NPI
1902516339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 22714984)
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
Ms. CONSTANCE J ELLIS LMT
3405 ARLINE AVE
ROCKFORD, IL 61101-3210
Phone number: 815-669-0475
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Mailing Address
Ms. CONSTANCE J ELLIS LMT
3405 ARLINE AVE
ROCKFORD, IL 61101-3210
Phone number: 815-669-0475
Copy
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