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1417167966
KELLY LOOMIS
SAN DIEGO, CA
NPI
1417167966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA 20A6901)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- KELLY LOOMIS D.O.
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8222
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Mailing Address
-- KELLY LOOMIS D.O.
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8222
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