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1548913213
KELLY JANE THUMMA
LITTLE RIVER, SC
NPI
1548913213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 25776)
Enumeration Date
2022-02-01
Last Update Date
2022-02-04
Business Address
MS. KELLY JANE THUMMA APRN
3980 HIGHWAY 9 E STE 220
LITTLE RIVER, SC 29566-8164
Phone number: 843-390-0877
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Mailing Address
MS. KELLY JANE THUMMA APRN
1293 JASARDEAX CT SW
OCEAN ISLE BEACH, NC 28469-5873
Phone number: 919-612-4042
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