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1700171626
KELLY RESNICK
SAN LUIS OBISPO, CA
NPI
1700171626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 504606)
Enumeration Date
2011-06-20
Last Update Date
2011-06-20
Business Address
-- KELLY RESNICK
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4711
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Mailing Address
-- KELLY RESNICK
691 PONDEROSA ST
MORRO BAY, CA 93442-1638
Phone number:
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