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1245920081
JOSHUA KELLY
COSTA MESA, CA
NPI
1245920081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-12
Last Update Date
2023-05-12
Business Address
JOSHUA KELLY
940 S COAST DR STE 225
COSTA MESA, CA 92626-7757
Phone number: 949-743-1457
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Mailing Address
JOSHUA KELLY
777 E 3RD ST APT B205
POMONA, CA 91766-2003
Phone number: 626-243-3148
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