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1376309039
KELLY BRENNAN
GRAPEVINE, TX
NPI
1376309039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA17677)
Enumeration Date
2024-02-21
Last Update Date
2024-02-21
Business Address
KELLY BRENNAN
2535 IRA E WOODS AVE
GRAPEVINE, TX 76051-3930
Phone number: 817-481-2121
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Mailing Address
KELLY BRENNAN
2535 IRA E WOODS AVE
GRAPEVINE, TX 76051-3930
Phone number: 817-481-2121
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