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1194343731
KELLAN KALBAUGH
SAN LUIS OBISPO, CA
NPI
1194343731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 60114)
Enumeration Date
2020-07-09
Last Update Date
2022-04-12
Business Address
KELLAN KALBAUGH PA-C
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 93401-4154
Phone number: 805-782-8844
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Mailing Address
KELLAN KALBAUGH PA-C
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 93401-4154
Phone number: 805-782-8844
Copy
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