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1013576511
KETTELIE HENRY
HOLLYWOOD, FL
NPI
1013576511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11002547)
Enumeration Date
2019-06-07
Last Update Date
2020-06-23
Business Address
KETTELIE HENRY ARNP
3800 S OCEAN DR STE 209
HOLLYWOOD, FL 33019-2915
Phone number: 877-226-8874
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Mailing Address
KETTELIE HENRY ARNP
3800 S OCEAN DR STE 209
HOLLYWOOD, FL 33019-2915
Phone number: 800-226-8874
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