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1205351020
KELLY LARREA
WINTER HAVEN, FL
NPI
1205351020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA2679)
Enumeration Date
2017-08-14
Last Update Date
2024-06-10
Business Address
KELLY LARREA
160 E LAKE HOWARD DR
WINTER HAVEN, FL 33881-3155
Phone number: 863-299-1251
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Mailing Address
KELLY LARREA
15280 NW 79TH CT STE 200
MIAMI LAKES, FL 33016-5873
Phone number: 305-558-3724
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