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1558037689
ANTHONY KELLY
SANTA ANA, CA
NPI
1558037689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 550311)
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
ANTHONY KELLY
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 714-834-2178
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Mailing Address
ANTHONY KELLY
6053 KINGSBRIAR DR
YORBA LINDA, CA 92886-5918
Phone number: 657-272-0334
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