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1306347539
KELLIE NICOLE NANCE
ST. PAUL, MN
NPI
1306347539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 12651)
Enumeration Date
2018-02-22
Last Update Date
2023-01-11
Business Address
KELLIE NICOLE NANCE PA-C
REGIONS HOSPITAL 640 JACKSON STREET MS11102F
ST. PAUL, MN 55101-2502
Phone number: 952-883-5129
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Mailing Address
KELLIE NICOLE NANCE PA-C
PO BOX 1309 - MAIL STOP 21110Q
MINNEAPOLIS, MS 55440-1309
Phone number:
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