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1083890503
EDWARD LAWRENCE KELLY
GLENWOOD, IA
NPI
1083890503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IA P12593)
Enumeration Date
2008-01-15
Last Update Date
2008-01-15
Business Address
-- EDWARD LAWRENCE KELLY LPN
711 S VINE ST
GLENWOOD, IA 51534-1927
Phone number: 712-525-1344
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Mailing Address
-- EDWARD LAWRENCE KELLY LPN
709 WASHINGTON AVE
RED OAK, IA 51566-2439
Phone number: 712-623-6862
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