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1629032636
KELLIE MARTIN
DETROIT, MI
NPI
1629032636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704173942)
Enumeration Date
2006-04-14
Last Update Date
2007-07-08
Business Address
-- KELLIE MARTIN CRNA
22101 MOROSS
DETROIT, MI 48226
Phone number: 313-343-4766
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Mailing Address
-- KELLIE MARTIN CRNA
39086 VASSAR
STERLING HEIGHTS, MI 48313
Phone number: 586-532-7074
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