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1669566139
SUSAN S KELLY
DAVIS, CA
NPI
1669566139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT23124)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
-- SUSAN S KELLY PT
1340 LAKE BLVD.
DAVIS, CA 95616
Phone number: 530-753-5338
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Mailing Address
-- SUSAN S KELLY PT
PO BOX 255228
SACRAMENTO, CA 95865
Phone number: 800-470-0071
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