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1154654507
KELLY JOHN SKIPPER
DALLAS, TX
NPI
1154654507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX 09-262)
Enumeration Date
2009-09-16
Last Update Date
2009-09-16
Business Address
Mr. KELLY JOHN SKIPPER Surgical Assistant
4525 GILBERT AVE #107
DALLAS, TX 75219-2122
Phone number: 214-529-5024
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Mailing Address
Mr. KELLY JOHN SKIPPER Surgical Assistant
4525 GILBERT AVE #107
DALLAS, TX 75219-2122
Phone number: 214-529-5024
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