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1164068250
KELLY ANN MARTIC
MIDLOTHIAN, VA
NPI
1164068250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024178186)
Enumeration Date
2019-11-23
Last Update Date
2024-08-12
Business Address
KELLY ANN MARTIC NP
13551 WATERFORD PL
MIDLOTHIAN, VA 23112-3929
Phone number: 804-320-4243
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Mailing Address
KELLY ANN MARTIC NP
1000 BOULDERS PKWY STE 102
NORTH CHESTERFIELD, VA 23225-5515
Phone number: 804-320-4243
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