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1043631500
KELLY GOING
SANTA ROSA, CA
NPI
1043631500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN276818)
Enumeration Date
2013-12-30
Last Update Date
2013-12-30
Business Address
-- KELLY GOING LVN
1901 CLEVELAND AVENUE, #B SANTA ROSA TREATMENT PROGRAM
SANTA ROSA, CA 95401
Phone number: 707-576-0818
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Mailing Address
-- KELLY GOING LVN
1901 CLEVELAND AVENUE, #B SANTA ROSA TREATMENT PROGRAM
SANTA ROSA, CA 95401
Phone number: 707-576-0818
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