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1558359414
GREGORY THOMAS KELLY
IOWA CITY, IA
NPI
1558359414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 000645)
Enumeration Date
2005-10-13
Last Update Date
2007-12-11
Business Address
-- GREGORY THOMAS KELLY PA
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-2920
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Mailing Address
-- GREGORY THOMAS KELLY PA
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-2920
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