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1922230010
CHARLES CARLISLE ELLIS
BAKERSFIELD, CA
NPI
1922230010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA SP4590)
Enumeration Date
2009-08-22
Last Update Date
2009-08-22
Business Address
Mr. CHARLES CARLISLE ELLIS MA, CCC-SLP
14015 SANTA FE CT
BAKERSFIELD, CA 93314-8357
Phone number: 661-747-3236
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Mailing Address
Mr. CHARLES CARLISLE ELLIS MA, CCC-SLP
PO BOX 20192
BAKERSFIELD, CA 93390-0192
Phone number: 661-747-3236
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