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1184705790
KELLY LEE MCKERAHAN
MURRIETA, CA
NPI
1184705790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A6780)
Enumeration Date
2006-10-18
Last Update Date
2012-11-13
Business Address
-- KELLY LEE MCKERAHAN D.O.
25095 JEFFERSON AVE STE 202
MURRIETA, CA 92562-9107
Phone number: 951-696-9566
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Mailing Address
-- KELLY LEE MCKERAHAN D.O.
25095 JEFFERSON AVE SUITE 202
MURRIETA, CA 92562-9113
Phone number: 951-696-9566
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