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1336542943
KELLIE PACK
JASPER, GA
NPI
1336542943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN197369)
Enumeration Date
2014-09-27
Last Update Date
2014-09-27
Business Address
-- KELLIE PACK NP
220 J L WHITE DR SUITE 120
JASPER, GA 30143-4893
Phone number: 706-692-3539
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Mailing Address
-- KELLIE PACK NP
220 J L WHITE DR SUITE 120
JASPER, GA 30143-4893
Phone number: 706-692-3539
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