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1033972815
LI KELLY
FOLSOM, CA
NPI
1033972815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA 95028882)
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
LI KELLY
306 FLOWER DR
FOLSOM, CA 95630-4829
Phone number: 916-205-5055
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Mailing Address
LI KELLY
306 FLOWER DR
FOLSOM, CA 95630-4829
Phone number: 916-205-5055
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