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1306371661
KELLI NICOLE BROADUS
AUGUSTA, GA
NPI
1306371661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN216907)
Enumeration Date
2017-04-25
Last Update Date
2017-04-25
Business Address
Miss KELLI NICOLE BROADUS FNP-C
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
Miss KELLI NICOLE BROADUS FNP-C
1330 ROYAL OAK ST
GROVETOWN, GA 30813-3996
Phone number: 706-726-0907
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