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1528536794
MICHELINA KELLEY
VISTA, CA
NPI
1528536794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-06
Last Update Date
2018-11-06
Business Address
MICHELINA KELLEY
2260 WATSON WAY
VISTA, CA 92083-7924
Phone number: 760-599-1892
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Mailing Address
MICHELINA KELLEY
516 SEAVIEW PL
VISTA, CA 92081-6830
Phone number:
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