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1932120516
KELLI HUMPHREY
LAGUNA BEACH, CA
NPI
1932120516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 11464)
Enumeration Date
2006-07-21
Last Update Date
2010-04-02
Business Address
-- KELLI HUMPHREY N.P.
1071 SKYLINE DR
LAGUNA BEACH, CA 92651-1934
Phone number: 949-233-5943
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Mailing Address
-- KELLI HUMPHREY N.P.
PO BOX 449
LAGUNA BEACH, CA 92652-0449
Phone number: 949-233-5943
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