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1497508303
TAKEYSHA KELLY
REDLANDS, CA
NPI
1497508303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95029714)
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
TAKEYSHA KELLY FNP-C
350 TERRACINA BLVD
REDLANDS, CA 92373-4850
Phone number: 909-335-5000
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Mailing Address
TAKEYSHA KELLY FNP-C
13569 WILLIAMSON RD
RANCHO CUCAMONGA, CA 91739-2071
Phone number: 909-240-8629
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