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1972995405
ELLEN DEZELLEM
PORT ANGELES, WA
NPI
1972995405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL60535425)
Enumeration Date
2015-02-20
Last Update Date
2015-02-20
Business Address
-- ELLEN DEZELLEM
216 E 4TH ST
PORT ANGELES, WA 98362-3200
Phone number: 360-565-1733
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Mailing Address
-- ELLEN DEZELLEM
443 CEDAR PARK DR
PORT ANGELES, WA 98362-8428
Phone number: 509-449-0644
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