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1164193868
DIANA L KELLY
SAN ANGELO, TX
NPI
1164193868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1033066)
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
DIANA L KELLY PMHNP-BC
1636 HUNTERS GLEN RD
SAN ANGELO, TX 76901-5008
Phone number: 325-949-5722
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Mailing Address
DIANA L KELLY PMHNP-BC
1636 HUNTERS GLEN RD
SAN ANGELO, TX 76901-5016
Phone number: 325-949-5722
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