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1558718692
KELLIE L COFFMAN
FAIRFIELD, CA
NPI
1558718692
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Former Name
KELLIE L FULBRIGHT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2016-05-18
Last Update Date
2016-05-18
Business Address
-- KELLIE L COFFMAN
5245 CONLEY LN
FAIRFIELD, CA 94533-1491
Phone number: 707-386-8808
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Mailing Address
-- KELLIE L COFFMAN
5245 CONLEY LN
FAIRFIELD, CA 94533-1491
Phone number: 707-386-8808
Copy
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