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1629107586
LISA KELLLUM
SAN DIEGO, CA
NPI
1629107586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: CA RN469227)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- LISA KELLLUM RN BSN PHN
2440 GRAND AVE
SAN DIEGO, CA 92109-4858
Phone number: 858-490-4426
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Mailing Address
-- LISA KELLLUM RN BSN PHN
2440 GRAND AVE
SAN DIEGO, CA 92109-4858
Phone number: 858-490-4426
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