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1972374908
TINA ELLIS
HAMMOND, LA
NPI
1972374908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-01-09
Last Update Date
2024-01-09
Business Address
TINA ELLIS
1320 N MORRISON BLVD
HAMMOND, LA 70401-2242
Phone number: 985-551-5155
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Mailing Address
TINA ELLIS
1320 N MORRISON BLVD
HAMMOND, LA 70401-2242
Phone number: 985-551-5155
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