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1396995163
TARA M KELLY
SAN DIEGO, CA
NPI
1396995163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 95001320)
Enumeration Date
2008-09-29
Last Update Date
2018-01-12
Business Address
TARA M KELLY CRNP
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 858-657-7000
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Mailing Address
TARA M KELLY CRNP
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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