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1235594177
MELISSA ILENE KELLY
IDAHO FALLS, ID
NPI
1235594177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1668A)
Enumeration Date
2015-12-18
Last Update Date
2015-12-18
Business Address
-- MELISSA ILENE KELLY FNP
3614 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-552-7700
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Mailing Address
-- MELISSA ILENE KELLY FNP
3614 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-552-7700
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