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1396385456
KELLY DOUGLAS
BOYNTON BEACH, FL
NPI
1396385456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: FL APRN11005517)
Enumeration Date
2020-01-07
Last Update Date
2020-01-07
Business Address
DR. KELLY DOUGLAS APRN
8200 S JOG RD STE 203
BOYNTON BEACH, FL 33472-2981
Phone number: 561-509-5009
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Mailing Address
DR. KELLY DOUGLAS APRN
3886 EDGAR AVE
BOYNTON BEACH, FL 33436-2728
Phone number: 561-436-5800
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