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1104578533
KELLY S MCDONOUGH
SAN DIEGO, CA
NPI
1104578533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 821911)
Enumeration Date
2022-01-26
Last Update Date
2022-08-31
Business Address
KELLY S MCDONOUGH RN
5811 HENLEY DR
SAN DIEGO, CA 92120-4520
Phone number: 619-952-4030
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Mailing Address
KELLY S MCDONOUGH RN
5811 HENLEY DR
SAN DIEGO, CA 92120-4520
Phone number: 619-952-4030
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