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1770938532
CHERYL KETELSEN
SAN LUIS OBISPO, CA
NPI
1770938532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 53363)
Enumeration Date
2016-04-29
Last Update Date
2017-04-20
Business Address
-- CHERYL KETELSEN
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405-1811
Phone number: 805-541-2650
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Mailing Address
-- CHERYL KETELSEN
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405-1811
Phone number: 805-541-2650
Copy
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