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1265610687
KELLY WEAVER
SANTA ANA, CA
NPI
1265610687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-02-07
Last Update Date
2008-02-07
Business Address
Ms. KELLY WEAVER
1300 S GRAND AVE STE C
SANTA ANA, CA 92705-4434
Phone number: 714-567-7656
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Mailing Address
Ms. KELLY WEAVER
PO BOX 11526
SANTA ANA, CA 92711-1526
Phone number: 714-567-7656
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