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1598383044
KELLEY MARTINEZ
LA VERNE, CA
NPI
1598383044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-10
Last Update Date
2021-12-14
Business Address
KELLEY MARTINEZ
1940 BASELINE RD
LA VERNE, CA 91750-2148
Phone number: 909-392-1344
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Mailing Address
KELLEY MARTINEZ
1940 BASELINE RD
LA VERNE, CA 91750-2148
Phone number: 909-392-1344
Copy
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