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1023635166
ALISA BRITNEY KELLEY
MAGNOLIA, MS
NPI
1023635166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 903974)
Enumeration Date
2020-07-04
Last Update Date
2020-12-23
Business Address
ALISA BRITNEY KELLEY FNP-C
120 E MYRTLE ST
MAGNOLIA, MS 39652-2834
Phone number: 601-869-7330
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Mailing Address
ALISA BRITNEY KELLEY FNP-C
120 E MYRTLE ST
MAGNOLIA, MS 39652-2834
Phone number: 601-869-7330
Copy
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