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1366203036
JACQUELINE RITA KELLY
BALTIMORE, MD
NPI
1366203036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MD R236041)
Enumeration Date
2024-01-19
Last Update Date
2024-01-19
Business Address
JACQUELINE RITA KELLY CRNP
737 W LOMBARD ST
BALTIMORE, MD 21201-1009
Phone number: 410-706-2300
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Mailing Address
JACQUELINE RITA KELLY CRNP
140 MARIE CIR
ASTON, PA 19014-2268
Phone number: 610-804-4656
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