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1114293255
KELLY HER
VENTURA, CA
NPI
1114293255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 11990)
Enumeration Date
2012-03-22
Last Update Date
2012-03-22
Business Address
Mrs. KELLY HER A.c.
970 PETIT AVE STE D
VENTURA, CA 93004-2215
Phone number: 805-302-0266
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Mailing Address
Mrs. KELLY HER A.c.
1224 BLUEBONNET AVE
VENTURA, CA 93004-3566
Phone number: 805-302-0266
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