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1073067286
KELLY GENSEL
WILKES BARRE, PA
NPI
1073067286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP016425)
Enumeration Date
2016-08-05
Last Update Date
2016-08-05
Business Address
-- KELLY GENSEL
1130 HIGHWAY 315 BLVD
WILKES BARRE, PA 18702-6952
Phone number: 570-823-8896
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Mailing Address
-- KELLY GENSEL
1130 HIGHWAY 315 BLVD
WILKES BARRE, PA 18702-6952
Phone number:
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