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1164795241
KELLY A HOUMAND
MARIETTA, GA
NPI
1164795241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NV PA0254)
Enumeration Date
2012-02-20
Last Update Date
2022-07-21
Business Address
-- KELLY A HOUMAND P.A.-C
111 MARBLE MILL RD NW
MARIETTA, GA 30060-1047
Phone number: 770-422-1013
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Mailing Address
-- KELLY A HOUMAND P.A.-C
111 MARBLE MILL RD NW
MARIETTA, GA 30060-1047
Phone number: 770-422-1013
Copy
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