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1124109624
JACQUELINE KELLY
NORFOLK, VA
NPI
1124109624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024165999)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
-- JACQUELINE KELLY
400 GRESHAM DR SUITE 303
NORFOLK, VA 23507-1901
Phone number: 757-627-6416
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Mailing Address
-- JACQUELINE KELLY
400 GRESHAM DR SUITE 303
NORFOLK, VA 23507-1901
Phone number: 757-627-6416
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