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1144618158
KELLY KETCHAM
SACRAMENTO, CA
NPI
1144618158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2014-12-27
Last Update Date
2014-12-27
Business Address
KELLY KETCHAM M.ED, A.T.C.
5900 ELVAS AVE
SACRAMENTO, CA 95819-4341
Phone number: 530-409-4424
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Mailing Address
KELLY KETCHAM M.ED, A.T.C.
PO BOX 356
SHINGLE SPRINGS, CA 95682-0356
Phone number: 530-409-4424
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