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Individual

KELLIE BLEVINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2540 CARMICHAEL WAY, CARMICHAEL, CA 95608-5314
(916) 482-0465
Mailing address
3321 OSELOT WAY, RANCHO CORDOVA, CA 95670-6980
(916) 606-1443

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3525
CA

Other

Enumeration date
12/29/2014
Last updated
12/29/2014
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