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1710486832
SHANE PITMAN KELLY
SAN DIEGO, CA
NPI
1710486832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA DC34126)
Enumeration Date
2018-02-04
Last Update Date
2019-08-16
Business Address
SHANE PITMAN KELLY DC
10803 VISTA SORRENTO PKWY
SAN DIEGO, CA 92121-2792
Phone number: 197-773-0196
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Mailing Address
SHANE PITMAN KELLY DC
10803 VISTA SORRENTO PKWY STE 100
SAN DIEGO, CA 92121-2792
Phone number: 619-777-3019
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