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1407596984
SHAWNA KELLY
STOCKTON, CA
NPI
1407596984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-31
Last Update Date
2022-03-31
Business Address
SHAWNA KELLY
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207-8107
Phone number: 877-418-2979
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Mailing Address
SHAWNA KELLY
350 FAIRWAY DR STE 101
DEERFIELD BEACH, FL 33441-1834
Phone number: 877-418-2978
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