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1184746026
KELLY POTTER PARKS
SEAFORD, DE
NPI
1184746026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: DE C5-0000165)
Enumeration Date
2007-04-04
Last Update Date
2007-08-16
Business Address
Mrs. KELLY POTTER PARKS PA-C
121 S FRONT ST
SEAFORD, DE 19973-3511
Phone number: 302-629-5030
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Mailing Address
Mrs. KELLY POTTER PARKS PA-C
7817 GRACE CIR
SEAFORD, DE 19973-4337
Phone number: 302-628-3229
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