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1043289523
MARYPAT KELLY
SAN JOSE, CA
NPI
1043289523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA 15112)
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
-- MARYPAT KELLY GNP
80 GREAT OAKS BLVD
SAN JOSE, CA 95119-1310
Phone number: 408-363-3000
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Mailing Address
-- MARYPAT KELLY GNP
1150 PINE ST
MENLO PARK, CA 94025-3455
Phone number: 650-473-0529
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