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1386059798
KELLIE LEIS
JACKSONVILLE, FL
NPI
1386059798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9241412)
Enumeration Date
2014-06-24
Last Update Date
2017-06-09
Business Address
-- KELLIE LEIS ARNP
655 W 8TH ST
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-0411
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Mailing Address
-- KELLIE LEIS ARNP
655 W 8TH ST
JACKSONVILLE, FL 32209
Phone number: 904-244-0411
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