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1851887558
DONALD KETTYLS
LOS BANOS, CA
NPI
1851887558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A173802)
Enumeration Date
2018-07-05
Last Update Date
2021-08-04
Business Address
DONALD KETTYLS MD
311 W I ST
LOS BANOS, CA 93635-3479
Phone number: 209-826-2222
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Mailing Address
DONALD KETTYLS MD
311 W I ST
LOS BANOS, CA 93635-3479
Phone number: 209-826-2222
Copy
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