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1205076015
CASEY KELLY
EUREKA, CA
NPI
1205076015
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Other Name
CASEY EVENSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 20196)
Enumeration Date
2009-03-06
Last Update Date
2017-02-10
Business Address
-- CASEY KELLY PA
2200 TYDD ST
EUREKA, CA 95501-1284
Phone number: 707-269-7051
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Mailing Address
-- CASEY KELLY PA
670 9TH ST SUITE 203
ARCATA, CA 95521-6248
Phone number: 707-826-8633
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