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Individual
KELLIE LINH VO
Active
Individual
KELLIE LINH VO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
733417
CA
363LF0000X
Family Nurse Practitioner
Primary
95003058
CA
Other
Enumeration date
05/25/2015
Last updated
12/10/2015
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