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1467874263
KELLEY SHANNON MISTRETTA
BUFFALO, NY
NPI
1467874263
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Former Name
KELLEY SHANNON WARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F306653-1)
Enumeration Date
2014-01-13
Last Update Date
2014-01-13
Business Address
Mrs. KELLEY SHANNON MISTRETTA MS, RN, ANP, C-EFM
2157 MAIN ST
BUFFALO, NY 14214-2648
Phone number: 716-862-1984
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Mailing Address
Mrs. KELLEY SHANNON MISTRETTA MS, RN, ANP, C-EFM
2157 MAIN ST
BUFFALO, NY 14214-2648
Phone number: 716-862-1984
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