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1053060277
KELLY J CHAN
SACRAMENTO, CA
NPI
1053060277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
Dr. KELLY J CHAN MD
4860 Y ST STE 3700
SACRAMENTO, CA 95817-2307
Phone number: 916-734-3588
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Mailing Address
Dr. KELLY J CHAN MD
4860 Y ST STE 3700
SACRAMENTO, CA 95817-2307
Phone number: 916-734-3588
Copy
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