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1003100579
JAMES DAVID KILLEEN
FONTANA, CA
NPI
1003100579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A126081)
Enumeration Date
2011-06-02
Last Update Date
2021-12-03
Business Address
Mr. JAMES DAVID KILLEEN M.D.
9961 SIERRA AVE KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335-6720
Phone number: 909-427-6960
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Mailing Address
Mr. JAMES DAVID KILLEEN M.D.
393 E WALNUT ST PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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