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1639587702
KELLY OMALLEY
LORAIN, OH
NPI
1639587702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH RN302372)
Enumeration Date
2014-08-01
Last Update Date
2014-08-01
Business Address
-- KELLY OMALLEY NP
1205 BROADWAY
LORAIN, OH 44052-3409
Phone number: 440-204-1655
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Mailing Address
-- KELLY OMALLEY NP
2717 JOSEPH ST
AVON, OH 44011-1911
Phone number: 216-832-1137
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