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1891384251
LAUREN KELLY
IRVINE, CA
NPI
1891384251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA 31796789)
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
LAUREN KELLY
12233 SPECTRUM
IRVINE, CA 92618-3404
Phone number: 814-441-7391
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Mailing Address
LAUREN KELLY
12233 SPECTRUM
IRVINE, CA 92618-3404
Phone number: 814-441-7391
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