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1649262429
KATHLEEN MARIE FENNELLY
SAN LUIS OBISPO, CA
NPI
1649262429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner Obstetrics & Gynecology
(Licence: CA 7319)
Enumeration Date
2005-08-18
Last Update Date
2009-08-06
Business Address
KATHLEEN MARIE FENNELLY R.N., N.P,
896 E FOOTHILL BLVD
SAN LUIS OBISPO, CA 93405-1761
Phone number: 805-542-0900
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Mailing Address
KATHLEEN MARIE FENNELLY R.N., N.P,
896 E FOOTHILL BLVD
SAN LUIS OBISPO, CA 93405-1761
Phone number: 805-542-0900
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