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1093008641
KELLY CARBONE
PHILADELPHIA, PA
NPI
1093008641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA TP006868D)
Enumeration Date
2011-05-16
Last Update Date
2011-05-16
Business Address
-- KELLY CARBONE
3551 N BROAD ST
PHILADELPHIA, PA 19140-4160
Phone number: 215-430-4022
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Mailing Address
-- KELLY CARBONE
PO BOX 8500
PHILADELPHIA, PA 19178-0001
Phone number: 813-281-8478
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