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1104655257
KELLY L SALAZAR
RIVERSIDE, CA
NPI
1104655257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA65373)
Enumeration Date
2024-07-29
Last Update Date
2025-01-03
Business Address
KELLY L SALAZAR PA-C
4646 BROCKTON AVE
RIVERSIDE, CA 92506-0102
Phone number: 951-682-6900
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Mailing Address
KELLY L SALAZAR PA-C
4646 BROCKTON AVE
RIVERSIDE, CA 92506-0102
Phone number: 951-682-6900
Copy
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