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1508019894
KELLI BLEVINS
MOSES LAKE, WA
NPI
1508019894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2008-10-30
Last Update Date
2008-10-30
Business Address
KELLI BLEVINS BA
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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Mailing Address
KELLI BLEVINS BA
PO BOX 993
COULEE CITY, WA 99115-0993
Phone number: 506-765-9239
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