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Individual
KELLY LEE SANTORO
Active
Individual
KELLY LEE SANTORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51687
CA
363A00000X
Physician Assistant
MA055445
PA
363AM0700X
Medical Physician Assistant
51687
CA
Other
Enumeration date
04/10/2012
Last updated
02/13/2024
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