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1689072316
KELLYRAE BROWN
FOLSOM, CA
NPI
1689072316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: CA 55213)
Enumeration Date
2014-12-11
Last Update Date
2014-12-11
Business Address
-- KELLYRAE BROWN
1900 PRAIRIE CITY RD
FOLSOM, CA 95630-9501
Phone number: 916-370-8154
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Mailing Address
-- KELLYRAE BROWN
2404 LOMA VISTA DR
SACRAMENTO, CA 95825-0310
Phone number: 916-370-8154
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