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1285170738
SEAN KELLY
TRAVERSE CITY, MI
NPI
1285170738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008056)
Enumeration Date
2017-01-09
Last Update Date
2021-03-29
Business Address
SEAN KELLY PA-C
1105 6TH ST
TRAVERSE CITY, MI 49684-2349
Phone number: 231-947-0673
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Mailing Address
SEAN KELLY PA-C
4624 N SPIDER LAKE RD
TRAVERSE CITY, MI 49696-8440
Phone number: 231-947-0673
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