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1225756547
BARRY A KELLY
CORONA, CA
NPI
1225756547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
BARRY A KELLY
1170 BORDER AVE APT A
CORONA, CA 92882-6511
Phone number: 909-633-2080
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Mailing Address
BARRY A KELLY
1170 BORDER AVE APT A
CORONA, CA 92882-6511
Phone number: 909-633-2080
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