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1174125777
KELLY LANI CHAN
SAN DIEGO, CA
NPI
1174125777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
KELLY LANI CHAN
6405 MIRA MESA BLVD STE 210
SAN DIEGO, CA 92121-4146
Phone number: 866-701-6565
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Mailing Address
KELLY LANI CHAN
6405 MIRA MESA BLVD STE 210
SAN DIEGO, CA 92121-4146
Phone number:
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