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1215340856
GARY KELLEY
CORCORAN, CA
NPI
1215340856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA Psy 17857)
Enumeration Date
2014-06-10
Last Update Date
2014-06-10
Business Address
-- GARY KELLEY
4001 KING AVE
CORCORAN, CA 93212-9611
Phone number: 559-992-8800
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Mailing Address
-- GARY KELLEY
4001 KING AVE
CORCORAN, CA 93212-9611
Phone number: 559-992-8800
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