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1902480445
TATIANA SIMONE KELLEY
ELK GROVE, CA
NPI
1902480445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A191453)
Enumeration Date
2021-05-11
Last Update Date
2024-12-03
Business Address
TATIANA SIMONE KELLEY MD
9394 BIG HORN BLVD
ELK GROVE, CA 95758-7977
Phone number: 916-691-8500
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Mailing Address
TATIANA SIMONE KELLEY MD
3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
Phone number:
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