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1275077125
KELLY BAZZANI
AUBURN, CA
NPI
1275077125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-12-12
Last Update Date
2016-12-12
Business Address
-- KELLY BAZZANI
12183 LOCKSLEY LN STE 101
AUBURN, CA 95602-2050
Phone number: 530-885-1961
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Mailing Address
-- KELLY BAZZANI
12183 LOCKSLEY LN STE 101
AUBURN, CA 95602-2050
Phone number: 530-885-1961
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