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1669410932
NICOLE C KELLY
VANCOUVER, WA
NPI
1669410932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WA MD00040898)
Enumeration Date
2006-06-02
Last Update Date
2012-09-26
Business Address
-- NICOLE C KELLY MD
600 NE 92ND AVE
VANCOUVER, WA 98664-3225
Phone number: 360-514-2142
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Mailing Address
-- NICOLE C KELLY MD
FILE 742997
LOS ANGELES, CA 90074-2997
Phone number: 360-514-2142
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