KELLI GORA

BIG BEAR LAKE, CA
NPI1417372186
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95000429)
Enumeration Date2014-03-04
Last Update Date2014-03-04
Business Address
-- KELLI GORA
41870 GARSTIN RD.
BIG BEAR LAKE, CA 92315
Phone number: 909-878-8294
Mailing Address
-- KELLI GORA
1141 LA LOMA DR
SANTA ANA, CA 92705-2902
Phone number: 714-335-4113
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