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1518001577
LESLIE KELLY
GROTON, CT
NPI
1518001577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CT E48644)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
LESLIE KELLY RN
333 LONG HILL RD
GROTON, CT 06340-3823
Phone number: 860-446-8858
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Mailing Address
LESLIE KELLY RN
635 MAIN ST ATTN CREDENTIALING DEPARTMENT
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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