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1518095538
KELLY RAE DALLAS
DOVER, OH
NPI
1518095538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 1713)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
-- KELLY RAE DALLAS PA-C
897 E IRON AVE
DOVER, OH 44622-2030
Phone number: 330-343-5555
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Mailing Address
-- KELLY RAE DALLAS PA-C
897 E IRON AVE PO BOX 443
DOVER, OH 44622-2030
Phone number: 330-343-5555
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