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1790061208
NELAE JONTUE KEENE
COSTA MESA, CA
NPI
1790061208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 21875)
Enumeration Date
2011-10-28
Last Update Date
2018-12-12
Business Address
NELAE JONTUE KEENE PA-C
2787 BRISTOL ST STE 210
COSTA MESA, CA 92626-5956
Phone number: 949-515-7300
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Mailing Address
NELAE JONTUE KEENE PA-C
2787 BRISTOL ST STE 210
COSTA MESA, CA 92626-5956
Phone number: 949-515-7300
Copy
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