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1700473246
DAIZOHN KELLY
LONG BEACH, CA
NPI
1700473246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-12-30
Last Update Date
2020-12-30
Business Address
DAIZOHN KELLY
200 PINE AVE STE 400
LONG BEACH, CA 90802-3039
Phone number: 562-480-0847
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Mailing Address
DAIZOHN KELLY
200 PINE AVE STE 400
LONG BEACH, CA 90802-3039
Phone number: 562-480-0847
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