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1710691175
KELLY RAE STAPP
PACOIMA, CA
NPI
1710691175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
Enumeration Date
2023-01-10
Last Update Date
2023-01-10
Business Address
KELLY RAE STAPP
13066 VAN NUYS BLVD
PACOIMA, CA 91331-2576
Phone number: 818-206-3353
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Mailing Address
KELLY RAE STAPP
17216 SATICOY ST
VAN NUYS, CA 91406-2103
Phone number: 916-761-5113
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