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1053728865
KELLY VINCENT
OAKLAND, CA
NPI
1053728865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 30672)
Enumeration Date
2014-07-14
Last Update Date
2019-01-16
Business Address
KELLY VINCENT
1440 BROADWAY SUITE 610
OAKLAND, CA 94612-2041
Phone number: 916-601-1925
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Mailing Address
KELLY VINCENT
1440 BROADWAY SUITE 610
OAKLAND, CA 94612-2041
Phone number: 916-601-1925
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