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1326071283
MARYALICE KELLY
FAYETTEVILLE, AR
NPI
1326071283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AR A001933)
Enumeration Date
2006-07-07
Last Update Date
2023-04-07
Business Address
Ms. MARYALICE KELLY APN
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1908
Phone number: 479-713-8000
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Mailing Address
Ms. MARYALICE KELLY APN
PO BOX 251420
LITTLE ROCK, AR 72225-1420
Phone number: 501-686-8000
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