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1104161488
KELLY RUTH HUSSEY
TAMPA, FL
NPI
1104161488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9106636)
Enumeration Date
2012-11-28
Last Update Date
2017-05-08
Business Address
MRS. KELLY RUTH HUSSEY PA
13330 USF LAUREL DR 5TH FLOOR
TAMPA, FL 33612-6601
Phone number: 813-396-0755
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Mailing Address
MRS. KELLY RUTH HUSSEY PA
4001 E FLETCHER AVE
TAMPA, FL 33613-4808
Phone number: 813-396-0751
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