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1710951272
KELLY I SLATER
SAN DIEGO, CA
NPI
1710951272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A69673)
Enumeration Date
2006-02-13
Last Update Date
2021-11-30
Business Address
-- KELLY I SLATER MD
8808 BALBOA AVE
SAN DIEGO, CA 92123-1592
Phone number: 858-569-6664
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Mailing Address
-- KELLY I SLATER MD
3668 RUETTE DE VL
SAN DIEGO, CA 92130-2500
Phone number:
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