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1356962138
KELLIE CLARK
SAN DIEGO, CA
NPI
1356962138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 209282)
Enumeration Date
2020-05-02
Last Update Date
2020-05-02
Business Address
KELLIE CLARK
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
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Mailing Address
KELLIE CLARK
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
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