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1487702262
KELLY JOHNSON
FRESNO, CA
NPI
1487702262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- KELLY JOHNSON
205 N BLACKSTONE AVE
FRESNO, CA 93701-1914
Phone number: 559-498-0241
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Mailing Address
-- KELLY JOHNSON
2110 HELM AVE # 31
CLOVIS, CA 93612-3453
Phone number: 559-292-1430
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