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1225754021
KELLI DESTASIO
MARIPOSA, CA
NPI
1225754021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
KELLI DESTASIO
5362 LEMEE LN
MARIPOSA, CA 95338-9556
Phone number: 209-966-2000
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Mailing Address
KELLI DESTASIO
PO BOX 99
MARIPOSA, CA 95338-0099
Phone number:
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