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1205478021
STACEY RACHELLE KELLY
LUBBOCK, TX
NPI
1205478021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP143497)
Enumeration Date
2019-10-14
Last Update Date
2019-10-14
Business Address
STACEY RACHELLE KELLY FNP
3506 21ST ST 507
LUBBOCK, TX 79410-1105
Phone number: 806-725-4800
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Mailing Address
STACEY RACHELLE KELLY FNP
2215 NASHVILLE AVENUE
LUBBOCK, TX 79410-1106
Phone number: 806-725-5844
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