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1407000425
KELLY L TERRY
TYLER, TX
NPI
1407000425
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Former Name
KELLY L WHEELER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 695973)
Enumeration Date
2008-11-05
Last Update Date
2019-09-20
Business Address
KELLY L TERRY CRNA
800 E DAWSON ST
TYLER, TX 75701-2036
Phone number: 903-531-5000
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Mailing Address
KELLY L TERRY CRNA
PO BOX 841656
DALLAS, TX 75284-1656
Phone number: 903-531-5000
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