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1366867061
MICHELLE ROSE KELLY
JEFFERSON CITY, MO
NPI
1366867061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2104005310)
Enumeration Date
2014-03-04
Last Update Date
2014-03-04
Business Address
Mrs. MICHELLE ROSE KELLY NP-C
701 W HIGH ST
JEFFERSON CITY, MO 65101-1525
Phone number: 573-636-3313
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Mailing Address
Mrs. MICHELLE ROSE KELLY NP-C
8205 DEER HAVEN ROAD
JEFFERSON CITY, MO 65101-8706
Phone number: 573-632-2069
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