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1245488980
LAURENCE KELLY
LOS ANGELES, CA
NPI
1245488980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-06
Last Update Date
2008-09-06
Business Address
Mr. LAURENCE KELLY
2724 W FLORENCE AVE
LOS ANGELES, CA 90043-5143
Phone number: 323-759-3464
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Mailing Address
Mr. LAURENCE KELLY
2724 W FLORENCE AVE
LOS ANGELES, CA 90043-5143
Phone number: 323-759-3464
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