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1871619171
MARIANNE K DEZELAN
RANCHO MIRAGE, CA
NPI
1871619171
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Other Name
MARIANNE KELLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA14742)
Enumeration Date
2007-03-21
Last Update Date
2024-02-20
Business Address
MARIANNE K DEZELAN PAC
39000 BOB HOPE DR, HIRSCHBERG BLG, STE 310
RANCHO MIRAGE, CA 92270
Phone number: 760-568-2684
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Mailing Address
MARIANNE K DEZELAN PAC
PO BOX 1730
RANCHO MIRAGE, CA 92270-1058
Phone number: 760-568-2684
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