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1386849339
KELLY BLUE
REDLANDS, CA
NPI
1386849339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: CA G084831)
Enumeration Date
2007-06-19
Last Update Date
2007-07-08
Business Address
Dr. KELLY BLUE M.D.
312 BROOKSIDE AVE
REDLANDS, CA 92373-4608
Phone number: 909-307-9663
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Mailing Address
Dr. KELLY BLUE M.D.
312 BROOKSIDE AVE
REDLANDS, CA 92373-4608
Phone number: 909-307-9663
Copy
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