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1265638993
KELLY SHIELDS
SAN DIEGO, CA
NPI
1265638993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CA CNM12240)
Enumeration Date
2007-06-21
Last Update Date
2007-07-08
Business Address
Ms. KELLY SHIELDS CNM
3343 4TH AVE
SAN DIEGO, CA 92103-5703
Phone number: 619-299-0840
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Mailing Address
Ms. KELLY SHIELDS CNM
3343 4TH AVE
SAN DIEGO, CA 92103-5703
Phone number: 619-299-0840
Copy
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