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1396957429
KELLY MARIE VAN FOSSEN
FAYETTEVILLE, NC
NPI
1396957429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: NC 2009-00374)
Enumeration Date
2007-05-03
Last Update Date
2014-06-03
Business Address
DR. KELLY MARIE VAN FOSSEN D.O.
4140 FERNCREEK DRIVE SUITE 601
FAYETTEVILLE, NC 28314-2569
Phone number: 910-485-3880
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Mailing Address
DR. KELLY MARIE VAN FOSSEN D.O.
4140 FERNCREEK DRIVE SUITE 601
FAYETTEVILLE, NC 28314-2569
Phone number: 910-485-3880
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