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1619744794
ANDY SCOTT KELLY
SACRAMENTO, CA
NPI
1619744794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-12-07
Last Update Date
2023-12-07
Business Address
ANDY SCOTT KELLY
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-816-2538
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Mailing Address
ANDY SCOTT KELLY
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 916-816-2538
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