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1053883181
CHARLES KELLER
SALT LAKE CITY, UT
NPI
1053883181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0207X Pediatrics, Pediatric Hematology-Oncology
(Licence: UT 360961-1205)
Enumeration Date
2018-12-31
Last Update Date
2018-12-31
Business Address
Dr. CHARLES KELLER MD
2198 S YVONNE RD #344
SALT LAKE CITY, UT 84121
Phone number: 801-232-8038
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Mailing Address
Dr. CHARLES KELLER MD
4919 SW SEYMOUR CT
PORTLAND, OR 97221-3040
Phone number: 801-232-8038
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