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1164146494
KELLIE MARIE-KAZUKO KODAMA
FULLERTON, CA
NPI
1164146494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-09-29
Last Update Date
2024-01-04
Business Address
KELLIE MARIE-KAZUKO KODAMA
2575 YORBA LINDA BLVD
FULLERTON, CA 92831-1615
Phone number: 714-449-7400
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Mailing Address
KELLIE MARIE-KAZUKO KODAMA
2575 YORBA LINDA BLVD
FULLERTON, CA 92831-1615
Phone number:
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