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1326543877
JACQUELINE KELLY KEITH
SANFORD, NC
NPI
1326543877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: NC 141062)
Enumeration Date
2018-03-27
Last Update Date
2018-03-27
Business Address
JACQUELINE KELLY KEITH MSN, RN
130 CARBONTON RD
SANFORD, NC 27330-4009
Phone number: 919-774-6521
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Mailing Address
JACQUELINE KELLY KEITH MSN, RN
174 SADDLEBROOK DR
SANFORD, NC 27330-9174
Phone number: 919-721-0118
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