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1295764165
KELLY DEANNE JOHN
PINEHURST, NC
NPI
1295764165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9101452)
Enumeration Date
2006-07-02
Last Update Date
2023-06-15
Business Address
KELLY DEANNE JOHN PA-C
10 TROTTER HILLS CIR
PINEHURST, NC 28374-7930
Phone number: 910-420-1282
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Mailing Address
KELLY DEANNE JOHN PA-C
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL 32082-6600
Phone number: 904-285-7546
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