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1891330783
KELLY KOYANO
SAN DIEGO, CA
NPI
1891330783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 86057314)
Enumeration Date
2019-11-14
Last Update Date
2019-11-14
Business Address
KELLY KOYANO RD
4168 FRONT ST
SAN DIEGO, CA 92103-2030
Phone number: 619-471-0420
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Mailing Address
KELLY KOYANO RD
3532 MEADE AVE APT 39
SAN DIEGO, CA 92116-3508
Phone number: 805-217-9048
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