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1275813529
KELLY NICOLE LEWIS
TAMPA, FL
NPI
1275813529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL ARNP 9231943)
Enumeration Date
2011-08-18
Last Update Date
2016-11-07
Business Address
KELLY NICOLE LEWIS CRNA
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607-6307
Phone number: 813-350-7244
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Mailing Address
KELLY NICOLE LEWIS CRNA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839
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