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1619047198
HALLAN KELLY
SAN MATEO, CA
NPI
1619047198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA PA1011)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
-- HALLAN KELLY NP
222 W 39TH AVE
SAN MATEO, CA 94403-4364
Phone number: 650-573-2222
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Mailing Address
-- HALLAN KELLY NP
222 W 39TH AVE
SAN MATEO, CA 94403-4364
Phone number: 650-573-2222
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