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1902653371
KELLY ELISA BETTENCOURT
CLOVIS, CA
NPI
1902653371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 06992609)
Enumeration Date
2024-05-03
Last Update Date
2024-05-03
Business Address
KELLY ELISA BETTENCOURT M.Ed., ATC
1560 N MINNEWAWA AVE
CLOVIS, CA 93619-7600
Phone number: 559-970-3811
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Mailing Address
KELLY ELISA BETTENCOURT M.Ed., ATC
718 ATHENS AVE
CLOVIS, CA 93611-7006
Phone number: 559-970-3811
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