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1578932190
COLLEEN KELLY
SAN DIEGO, CA
NPI
1578932190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95002304)
Enumeration Date
2015-09-24
Last Update Date
2016-11-18
Business Address
-- COLLEEN KELLY
3030 CHILDRENS WAY
SAN DIEGO, CA 92123-4232
Phone number: 858-966-8974
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Mailing Address
-- COLLEEN KELLY
3020 CHILDRENS WAY MC5096
SAN DIEGO, CA 92123-4223
Phone number: 858-966-8974
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