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1033188263
STACEY L. KELLEY
PORTLAND, ME
NPI
1033188263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME CNP81415)
Enumeration Date
2006-03-17
Last Update Date
2015-11-10
Business Address
-- STACEY L. KELLEY FNP-C
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2526
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Mailing Address
-- STACEY L. KELLEY FNP-C
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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