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1275167108
LACRISTEN LAKAYLEN KELLY
POMONA, CA
NPI
1275167108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-29
Last Update Date
2020-02-29
Business Address
LACRISTEN LAKAYLEN KELLY
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
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Mailing Address
LACRISTEN LAKAYLEN KELLY
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
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