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1154744837
KELLI FISHER
SAN JOSE, CA
NPI
1154744837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-01-30
Last Update Date
2014-01-30
Business Address
-- KELLI FISHER
264 N MORRISON AVE
SAN JOSE, CA 95126-2741
Phone number: 408-885-1003
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Mailing Address
-- KELLI FISHER
264 N MORRISON AVE
SAN JOSE, CA 95126-2741
Phone number: 408-885-1003
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