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1245695006
BRIDGET KELLEHER
VENICE, CA
NPI
1245695006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003447)
Enumeration Date
2015-12-22
Last Update Date
2018-11-01
Business Address
BRIDGET KELLEHER NP
604 ROSE AVE
VENICE, CA 90291-2767
Phone number: 310-392-8636
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Mailing Address
BRIDGET KELLEHER NP
604 ROSE AVE
VENICE, CA 90291-2767
Phone number: 310-392-8636
Copy
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