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1861728149
KELLY BRIAN REDISKE
FRESNO, CA
NPI
1861728149
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Former Name
KELLY BRIAN SHEA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 5838)
Enumeration Date
2009-10-21
Last Update Date
2009-10-21
Business Address
Mrs. KELLY BRIAN REDISKE
589 E VARTIKIAN AVE
FRESNO, CA 93710-5330
Phone number: 559-696-4063
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Mailing Address
Mrs. KELLY BRIAN REDISKE
589 E VARTIKIAN AVE
FRESNO, CA 93710-5330
Phone number:
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