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1184991143
KELSEY ANNE IKEMOTO
PARADISE, CA
NPI
1184991143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2011-11-18
Last Update Date
2011-11-18
Business Address
-- KELSEY ANNE IKEMOTO
7200 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-877-1965
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Mailing Address
-- KELSEY ANNE IKEMOTO
7200 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-877-1965
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