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1255748216
KAYLEENA ELLINS
VACAVILLE, CA
NPI
1255748216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 25474)
Enumeration Date
2014-07-22
Last Update Date
2014-07-22
Business Address
-- KAYLEENA ELLINS
1600 CALIFORNIA DRIVE
VACAVILLE, CA 95687
Phone number: 707-448-6841
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Mailing Address
-- KAYLEENA ELLINS
PO BOX 2297
VACAVILLE, CA 95696-8297
Phone number:
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