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1275996373
MIKE MCKELLY
LANCASTER, CA
NPI
1275996373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
227800000X Respiratory Therapist, Certified
(Licence: CA 13334)
Enumeration Date
2016-04-05
Last Update Date
2016-04-05
Business Address
-- MIKE MCKELLY
43839 15TH ST W
LANCASTER, CA 93534-4756
Phone number: 661-726-3219
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Mailing Address
-- MIKE MCKELLY
43839 15TH ST W
LANCASTER, CA 93534-4756
Phone number: 661-726-3219
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