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1861738833
KELLY J MATTILA
EUREKA, CA
NPI
1861738833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: CO 10087)
Enumeration Date
2012-12-20
Last Update Date
2012-12-20
Business Address
Dr. KELLY J MATTILA DPT
236 PONDEROSA CT
EUREKA, CA 95503-5368
Phone number: 303-803-8644
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Mailing Address
Dr. KELLY J MATTILA DPT
236 PONDEROSA CT
EUREKA, CA 95503-5368
Phone number: 303-803-8644
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