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1356306575
IMELDA C KELLY
PORTLAND, OR
NPI
1356306575
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Other Name
IMELDA ELORIAGA CALUBAQUIB
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD23862)
Enumeration Date
2006-04-19
Last Update Date
2015-01-22
Business Address
-- IMELDA C KELLY MD
1350 NE 122ND AVE
PORTLAND, OR 97230-2011
Phone number: 503-408-7010
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Mailing Address
-- IMELDA C KELLY MD
PO BOX 92900
PORTLAND, OR 97292-0900
Phone number: 503-408-7010
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