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Individual
KELLIE M GATER
Active
Individual
KELLIE M GATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95008168
CA
363LA2200X
Adult Health Nurse Practitioner
95008168
CA
363LA2200X
Adult Health Nurse Practitioner
AP09818
LA
Other
Enumeration date
12/15/2017
Last updated
05/31/2022
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