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1356848899
TRICIA KELLY
FORT WORTH, TX
NPI
1356848899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 821766)
Enumeration Date
2018-04-11
Last Update Date
2023-06-13
Business Address
TRICIA KELLY Nurse Practitioner
1325 PENNSYLVANIA AVENUE SUITE 560
FORT WORTH, TX 76104
Phone number: 817-820-2890
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Mailing Address
TRICIA KELLY Nurse Practitioner
1216 BERKELEY DR
BURLESON, TX 76028-8220
Phone number: 817-905-6050
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