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1689287070
KELLY MILES PETROVICS
HOOVER, AL
NPI
1689287070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-158612)
Enumeration Date
2020-08-26
Last Update Date
2021-05-04
Business Address
KELLY MILES PETROVICS CRNP
1001 BROCKS GAP PKWY STE 101
HOOVER, AL 35244-4028
Phone number: 205-421-1032
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Mailing Address
KELLY MILES PETROVICS CRNP
985 9TH AVE SW
BESSEMER, AL 35022-4500
Phone number: 205-481-7312
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