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1720640394
KELLY PEREZ
ELK GROVE, CA
NPI
1720640394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-03
Last Update Date
2019-07-03
Business Address
KELLY PEREZ
9150 WATERMAN RD APT 116
ELK GROVE, CA 95624-5079
Phone number: 916-886-6255
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Mailing Address
KELLY PEREZ
9150 WATERMAN RD APT 116
ELK GROVE, CA 95624-5079
Phone number: 916-886-6255
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