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1205420312
KELLY LYNN MOUNTAIN
NEWPORT BEACH, CA
NPI
1205420312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA60787)
Enumeration Date
2021-03-01
Last Update Date
2023-08-29
Business Address
KELLY LYNN MOUNTAIN PA-C
1441 AVOCADO AVE STE 503
NEWPORT BEACH, CA 92660-7706
Phone number: 949-718-9020
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Mailing Address
KELLY LYNN MOUNTAIN PA-C
PO BOX 2218
SUISUN CITY, CA 94585-5218
Phone number: 657-241-3600
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