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Individual
KEELY ERIN GISS
Active
Individual
KEELY ERIN GISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95049019
CA
363L00000X
Nurse Practitioner
Primary
95001832
CA
363LP0200X
Pediatric Nurse Practitioner
95001832
CA
Other
Enumeration date
12/16/2014
Last updated
08/22/2024
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