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1407400419
COLLEEN LORA JAIMIE KELLY
NEW BERN, NC
NPI
1407400419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 0010-08921)
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
COLLEEN LORA JAIMIE KELLY PA-C
2111 NEUSE BLVD STE J
NEW BERN, NC 28560-4318
Phone number: 252-636-0300
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Mailing Address
COLLEEN LORA JAIMIE KELLY PA-C
2111 NEUSE BLVD STE J
NEW BERN, NC 28560-4318
Phone number: 252-636-0300
Copy
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