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1194952440
KELLY ELIZABETH THOMAS
VENTURA, CA
NPI
1194952440
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Former Name
KELLY ELIZABETH MICHAELIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA RPE6073)
Enumeration Date
2009-06-14
Last Update Date
2009-10-06
Business Address
-- KELLY ELIZABETH THOMAS M.A.
1106 E SANTA CLARA ST
VENTURA, CA 93001-3177
Phone number: 520-289-6357
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Mailing Address
-- KELLY ELIZABETH THOMAS M.A.
1106 E SANTA CLARA ST
VENTURA, CA 93001-3177
Phone number: 520-289-6357
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