KELLEEN BOSCH DO INC
Medical Practice at Alluvial Ave, Fresno, CA

License number
California 20A9211
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: MRS. MARY KATHLEEN HANSEN
Title: ADMINISTRATOR
Phone: (559) 981-2600
Address
Address
1374 E Alluvial Ave, Fresno, CA 93720
National Provider ID: 1306018452
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KELLEEN BOSCH, D.O., INC

Fresno, CA

Doing business as:
Kelleen Bosch DO Inc<br>Kelleen Bosch DO
Registration:
Jun 14, 2007
Phone:
(559) 450-7272 (Phone)
Addresses:
1374 E Alluvial Ave, Fresno, CA 93720 (Physical)
1111 E Herndon Ave, Fresno, CA 93720
1105 E Spruce Ave, Fresno, CA 93720
State ID:
C3002947
Business type:
Articles of Incorporation
Principal, Presidents:
Deanna J. Friedline (Billing Supervisor),Kelleen Bosch (Principal, President)
Agent:
Kelleen M Bosch,Fresno, CA 93720 (Physical)

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