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1487276739
KELLY JO EASLEY
BLOOMINGTON, IN
NPI
1487276739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71010029A)
Enumeration Date
2020-05-09
Last Update Date
2020-05-09
Business Address
Mrs. KELLY JO EASLEY
2701 E 3RD ST
BLOOMINGTON, IN 47401-5433
Phone number: 812-332-1419
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Mailing Address
Mrs. KELLY JO EASLEY
3169 S BRAND LEE WAY
YUMA, AZ 85365-5110
Phone number: 740-260-0642
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