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1750906343
KELLY BLASCO
LOS ANGELES, CA
NPI
1750906343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 86094015)
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
KELLY BLASCO RDN
633 W 5TH ST
LOS ANGELES, CA 90071-2005
Phone number: 323-391-7262
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Mailing Address
KELLY BLASCO RDN
1048 IRVINE AVE # 768
NEWPORT BEACH, CA 92660-4602
Phone number:
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