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1902343833
KELLY BALL
SAN DIEGO, CA
NPI
1902343833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95004819)
Enumeration Date
2017-01-30
Last Update Date
2017-05-22
Business Address
-- KELLY BALL
4074 FALCON ST
SAN DIEGO, CA 92103-1857
Phone number: 206-355-5967
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Mailing Address
-- KELLY BALL
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number: 858-249-6748
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