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1245652528
KELLEY CLARK
BALTIMORE, MD
NPI
1245652528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MD R196154)
Enumeration Date
2014-01-06
Last Update Date
2017-07-18
Business Address
-- KELLEY CLARK CRNA
600 N WOLFE ST BLALOCK 1410
BALTIMORE, MD 21287-0005
Phone number: 678-596-1497
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Mailing Address
-- KELLEY CLARK CRNA
9910 FRANKLIN SQUARE DRIVE 2110
BALTIMORE, MD 21236-4902
Phone number: 410-933-6423
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