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1487645404
KELLIE MARIE REARDON
SAN MARCOS, TX
NPI
1487645404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 516912)
Enumeration Date
2005-10-31
Last Update Date
2014-01-14
Business Address
-- KELLIE MARIE REARDON FNP
1301 WONDER WORLD DR
SAN MARCOS, TX 78666-7533
Phone number: 512-753-3796
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Mailing Address
-- KELLIE MARIE REARDON FNP
4680 COUNTY ROAD 419
YOAKUM, TX 77995-7049
Phone number: 361-741-2678
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