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1467898395
KELLY SHIVEL RUDD
JACKSONVILLE, FL
NPI
1467898395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL 9180092)
Enumeration Date
2013-05-19
Last Update Date
2013-05-19
Business Address
-- KELLY SHIVEL RUDD CRNA
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204-4748
Phone number: 904-308-7300
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Mailing Address
-- KELLY SHIVEL RUDD CRNA
2165 HERSCHEL ST
JACKSONVILLE, FL 32204-3819
Phone number: 904-387-4030
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