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1184262263
KELLY NUCKLES
COLUMBUS, OH
NPI
1184262263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.143478.Meds-IV)
Enumeration Date
2019-12-19
Last Update Date
2019-12-19
Business Address
KELLY NUCKLES
765 PIERCE DR
COLUMBUS, OH 43223-2425
Phone number: 614-223-1650
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Mailing Address
KELLY NUCKLES
765 PIERCE DR
COLUMBUS, OH 43223-2425
Phone number: 614-223-1650
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