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1104867308
KELLI M WARD
LAKE HAVASU CITY, AZ
NPI
1104867308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 3425)
Enumeration Date
2006-06-09
Last Update Date
2010-05-18
Business Address
-- KELLI M WARD D.O.
2090 SMOKETREE AVE N
LAKE HAVASU CITY, AZ 86403-5806
Phone number: 928-854-1800
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Mailing Address
-- KELLI M WARD D.O.
PO BOX 3630
FLAGSTAFF, AZ 86003-3630
Phone number: 928-213-6100
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