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1245660448
KELLY BRANCH
SAN DIEGO, CA
NPI
1245660448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: CA 23507)
Enumeration Date
2013-11-25
Last Update Date
2013-11-25
Business Address
KELLY BRANCH CPNP
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 916-871-8831
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Mailing Address
KELLY BRANCH CPNP
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 916-871-8831
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