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1336506781
IAN KELLY
RANCHO CUCAMONGA, CA
NPI
1336506781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 105802)
Enumeration Date
2016-01-15
Last Update Date
2018-12-12
Business Address
IAN KELLY
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730-5844
Phone number: 909-771-8023
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Mailing Address
IAN KELLY
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730-5844
Phone number:
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