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1912386384
TANYA ELLIS
VINTON, IA
NPI
1912386384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IA 000899)
Enumeration Date
2015-05-19
Last Update Date
2020-11-06
Business Address
TANYA ELLIS
502 N 9TH AVE
VINTON, IA 52349-2254
Phone number: 319-721-9973
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Mailing Address
TANYA ELLIS
1549 56TH ST
GARRISON, IA 52229-9686
Phone number: 319-721-9973
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