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1477059228
KELLI TWEDELL
DALLAS, TX
NPI
1477059228
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Former Name
KELLI KAUFMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA11922)
Enumeration Date
2018-04-02
Last Update Date
2020-09-21
Business Address
KELLI TWEDELL PA-C
5744 LBJ FWY STE 100
DALLAS, TX 75240-6322
Phone number: 214-466-2828
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Mailing Address
KELLI TWEDELL PA-C
PO BOX 3409
PFLUGERVILLE, TX 78691-3409
Phone number: 513-252-7792
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