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1386030526
PATRICIA KELLEY DEFOREST
SAN ANTONIO, TX
NPI
1386030526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX R7197)
Enumeration Date
2015-04-14
Last Update Date
2024-05-16
Business Address
PATRICIA KELLEY DEFOREST DO
525 OAK CENTRE DR STE 100
SAN ANTONIO, TX 78258-3916
Phone number: 281-298-1144
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Mailing Address
PATRICIA KELLEY DEFOREST DO
14960 PARK ROW DR
HOUSTON, TX 77084-5165
Phone number: 281-298-1144
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