KELLY PARIS NELLESEN

EAGLE, ID
NPI1144346578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-207)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
Mrs. KELLY PARIS NELLESEN
574 PARK LN
EAGLE, ID 83616-4512
Phone number: 208-939-2189
Mailing Address
Mrs. KELLY PARIS NELLESEN
1222 W 1ST ST
MERIDIAN, ID 83642-2204
Phone number: 208-887-1391
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