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1255887386
KELLY GREEN
WAKE FOREST, NC
NPI
1255887386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 001006672)
Enumeration Date
2016-08-29
Last Update Date
2016-08-29
Business Address
-- KELLY GREEN PA-C
1237 SHIREHALL PARK LN
WAKE FOREST, NC 27587-0601
Phone number: 919-667-3714
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Mailing Address
-- KELLY GREEN PA-C
1237 SHIREHALL PARK LN
WAKE FOREST, NC 27587-0601
Phone number: 919-667-3714
Copy
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