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1902116742
KELLEY M BRICK
SANTA ANA, CA
NPI
1902116742
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Former Name
KELLEY M COBERN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 240145)
Enumeration Date
2010-10-14
Last Update Date
2010-10-14
Business Address
-- KELLEY M BRICK
550 N FLOWER ST
SANTA ANA, CA 92703-2361
Phone number: 714-647-4164
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Mailing Address
-- KELLEY M BRICK
6023 SHEPHERD DR
SAN BERNARDINO, CA 92407-2251
Phone number: 909-693-2327
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