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1609049774
JONATHON LUTHER KELLY
BREMERTON, WA
NPI
1609049774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2008-04-09
Last Update Date
2008-04-09
Business Address
MR. JONATHON LUTHER KELLY IDC
1 BOONE RD NAVAL HOSPITAL BREMERTON
BREMERTON, WA 98312-1894
Phone number: 360-475-4841
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Mailing Address
MR. JONATHON LUTHER KELLY IDC
1 BOONE RD NAVAL HOSPITAL BREMERTON
BREMERTON, WA 98312-1894
Phone number: 360-475-4841
Copy
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