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1417723164
VASILJANA STATHI KELLY
ORANGE PARK, FL
NPI
1417723164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11030279)
Enumeration Date
2023-12-04
Last Update Date
2024-08-03
Business Address
VASILJANA STATHI KELLY FNP
906 BLANDING BLVD
ORANGE PARK, FL 32065-6206
Phone number: 904-213-4444
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Mailing Address
VASILJANA STATHI KELLY FNP
PO BOX 600145
ST JOHNS, FL 32260-0145
Phone number: 904-887-3424
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