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1477144798
JUSTIN KELLER
LOS ANGELES, CA
NPI
1477144798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95015344)
Enumeration Date
2021-01-29
Last Update Date
2021-01-29
Business Address
JUSTIN KELLER NP
1610 N ALVARADO ST
LOS ANGELES, CA 90026-2524
Phone number: 916-479-0237
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Mailing Address
JUSTIN KELLER NP
1610 N ALVARADO ST
LOS ANGELES, CA 90026-2524
Phone number: 916-479-0237
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