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1114673951
KELLI EMELINE IVY
FLOWER MOUND, TX
NPI
1114673951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX 1068869)
Enumeration Date
2022-03-01
Last Update Date
2022-08-04
Business Address
MRS. KELLI EMELINE IVY APRN, FNP-BC
4370 MEDICAL ARTS DR STE 100
FLOWER MOUND, TX 75028-1713
Phone number: 972-537-4100
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Mailing Address
MRS. KELLI EMELINE IVY APRN, FNP-BC
PO BOX 911230
DALLAS, TX 75391-1230
Phone number: 972-997-8000
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