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1164597530
KELLY BARTON CARMACK
CHICO, CA
NPI
1164597530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
KELLY BARTON CARMACK
107 PARMAC ROAD SUITE 1
CHICO, CA 95926
Phone number: 530-891-2964
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Mailing Address
KELLY BARTON CARMACK
144 W 16TH ST
CHICO, CA 95928
Phone number: 530-354-0484
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