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1710761135
ELYSE KELLY
VENTURA, CA
NPI
1710761135
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Former Name
ELYSE EARWOOD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: CA 236389)
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
ELYSE KELLY CNM
147 N BRENT ST
VENTURA, CA 93003-2854
Phone number: 805-948-8300
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Mailing Address
ELYSE KELLY CNM
287 N DOS CAMINOS AVE
VENTURA, CA 93003-1625
Phone number: 678-457-3627
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