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Individual

DR. KELIN MEZZOMO OGBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7526 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-4001
(210) 567-5555
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 567-6180

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
003540
GA
2084P0800X
Psychiatry Physician
Primary
P6051
TX

Other

Enumeration date
06/23/2009
Last updated
08/21/2013
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