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1073664793
GEORGIE KELLEY
TACOMA, WA
NPI
1073664793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10003604)
Enumeration Date
2007-01-16
Last Update Date
2017-09-14
Business Address
-- GEORGIE KELLEY P.A.
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4265
Phone number: 253-383-6120
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Mailing Address
-- GEORGIE KELLEY P.A.
1400 POTTERY AVE PORT ORCHARD MEDICAL CENTER
PORT ORCHARD, WA 98366-3768
Phone number: 360-895-5000
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