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1063022937
KELLY LUC
LOS ANGELES, CA
NPI
1063022937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-08-05
Last Update Date
2021-11-28
Business Address
KELLY LUC
1318 E FLORENCE AVE
LOS ANGELES, CA 90001-1935
Phone number: 323-584-9525
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Mailing Address
KELLY LUC
1318 E FLORENCE AVE
LOS ANGELES, CA 90001-1935
Phone number: 323-584-9525
Copy
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