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1427878420
KELLI GRISHAM
SACRAMENTO, CA
NPI
1427878420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 95032540)
Enumeration Date
2024-10-14
Last Update Date
2024-10-14
Business Address
KELLI GRISHAM
10020 VANGUARD DR
SACRAMENTO, CA 95827-2329
Phone number: 916-300-5643
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Mailing Address
KELLI GRISHAM
10020 VANGUARD DR
SACRAMENTO, CA 95827-2329
Phone number: 916-300-5643
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