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1881285005
KELLIE IMLAY
GARDEN GROVE, CA
NPI
1881285005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-01-30
Last Update Date
2021-01-30
Business Address
KELLIE IMLAY
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840-4658
Phone number: 855-223-7123
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Mailing Address
KELLIE IMLAY
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 619-550-6368
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