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1487011706
PATRICK KEVIN KELLY
SAN LUIS OBISPO, CA
NPI
1487011706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 113191)
Enumeration Date
2016-01-16
Last Update Date
2024-02-02
Business Address
Mr. PATRICK KEVIN KELLY
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-473-7087
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Mailing Address
Mr. PATRICK KEVIN KELLY
PO BOX 882393
LOS ANGELES, CA 90009-3031
Phone number: 310-598-0669
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