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1134100126
GARY L KELLY
PALMDALE, CA
NPI
1134100126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT7963)
Enumeration Date
2005-11-08
Last Update Date
2007-07-08
Business Address
-- GARY L KELLY PT
1605 E PALMDALE BLVD SUITE A
PALMDALE, CA 93550
Phone number: 661-273-5333
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Mailing Address
-- GARY L KELLY PT
19510 VENTURA BLVD SUITE 106
TARZANA, CA 91356
Phone number: 818-996-1725
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