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1750633970
KELLY GENE COBURN
SANTA ANA, CA
NPI
1750633970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 112266)
Enumeration Date
2012-10-11
Last Update Date
2021-05-26
Business Address
Mr. KELLY GENE COBURN LMFT
401 W CIVIC CENTER DR STE 600
SANTA ANA, CA 92701-4515
Phone number: 714-850-8405
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Mailing Address
Mr. KELLY GENE COBURN LMFT
2035 E BALL RD STE. 100-A
ANAHEIM, CA 92806-5159
Phone number: 714-517-6152
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