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Brent Keller

Respiratory Therapist, Registered in San Diego, CA. Individual provider (NPI-1).

NPI number1982182010
StatusActive
Last updated in NPPESJul 31, 2018

Details

NPI
1982182010
Entity type
Individual (NPI-1)
Name
Brent Keller
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 31, 2018
Last updated
Jul 31, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
227900000X Respiratory Therapist, Registered26227CAYes

Practice location

4647 Zion Ave
San Diego, CA 92120-2507

Phone 619-580-5864

Mailing address

5350 Jazmin Ct
San Diego, CA 92124-1413

Phone 858-776-0207

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