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1417379538
KELLY TICKLE
ATLANTA, GA
NPI
1417379538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN228738)
Enumeration Date
2014-01-08
Last Update Date
2014-01-08
Business Address
-- KELLY TICKLE PCNS-BC, PPCNP-BC
5455 MERIDIAN MARKS RD STE 400
ATLANTA, GA 30342-4723
Phone number: 404-785-3240
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Mailing Address
-- KELLY TICKLE PCNS-BC, PPCNP-BC
5455 MERIDIAN MARKS RD STE 400
ATLANTA, GA 30342-4723
Phone number: 404-785-3240
Copy
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