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1396409793
KELLY DORMER
COVINA, CA
NPI
1396409793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-10-22
Last Update Date
2024-06-20
Business Address
KELLY DORMER
1274 CENTER COURT DR STE 211
COVINA, CA 91724-3668
Phone number: 626-339-4999
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Mailing Address
KELLY DORMER
4221 WILSHIRE BLVD STE 300A
LOS ANGELES, CA 90010-3537
Phone number: 888-428-3223
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