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1164492138
KELLY GAIL BARRIAULT
CHESAPEAKE, VA
NPI
1164492138
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Other Name
KELLY MELTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110002088)
Enumeration Date
2006-01-24
Last Update Date
2017-02-16
Business Address
-- KELLY GAIL BARRIAULT PA
109 WIMBLEDON SQ STE. E
CHESAPEAKE, VA 23320-4945
Phone number: 757-547-9830
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Mailing Address
-- KELLY GAIL BARRIAULT PA
1035 CHAMPIONS WAY STE 100
SUFFOLK, VA 23435-3762
Phone number: 757-394-1540
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