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1215048681
MICHELLE F. MATTISON-KELLY
CARMICHAEL, CA
NPI
1215048681
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Former Name
MICHELLE F. MATTISON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA G75193)
Enumeration Date
2006-08-31
Last Update Date
2012-02-10
Business Address
-- MICHELLE F. MATTISON-KELLY M.D.
6555 COYLE AVE
CARMICHAEL, CA 95608-0302
Phone number: 916-536-3520
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Mailing Address
-- MICHELLE F. MATTISON-KELLY M.D.
3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
Phone number:
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