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1952917130
ALY KELLY LY
FRESNO, CA
NPI
1952917130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95140790)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
ALY KELLY LY
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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Mailing Address
ALY KELLY LY
PO BOX 8910
FRESNO, CA 93747-8910
Phone number: 559-453-1008
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