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1558557694
HEATHER KETTENIS
SANTA MONICA, CA
NPI
1558557694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A99825)
Enumeration Date
2007-09-21
Last Update Date
2007-09-21
Business Address
-- HEATHER KETTENIS M.D.
1920 COLORADO AVE
SANTA MONICA, CA 90404-3414
Phone number: 310-319-4700
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Mailing Address
-- HEATHER KETTENIS M.D.
1920 COLORADO AVE
SANTA MONICA, CA 90404-3414
Phone number: 310-319-4700
Copy
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