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1124787767
ZACHARY MICHAEL KELLIS
VACAVILLE, CA
NPI
1124787767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-12-10
Last Update Date
2021-12-10
Business Address
ZACHARY MICHAEL KELLIS
354 CERNON ST
VACAVILLE, CA 95688-4502
Phone number: 707-470-9139
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Mailing Address
ZACHARY MICHAEL KELLIS
625 WINCHESTER CT
VACAVILLE, CA 95687-4338
Phone number: 707-470-9139
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