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1245286913
ANTHONY KELLY
PHOENIX, AZ
NPI
1245286913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-002699)
Enumeration Date
2006-05-25
Last Update Date
2009-10-30
Business Address
-- ANTHONY KELLY PA
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
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Mailing Address
-- ANTHONY KELLY PA
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
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