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1699023432
KELLY L OSBORNE
PORTLAND, ME
NPI
1699023432
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Former Name
KELLY L MADORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME CNP121071)
Enumeration Date
2012-08-28
Last Update Date
2015-02-27
Business Address
-- KELLY L OSBORNE FNP
22 BRAMHALL STREET
PORTLAND, ME 04102
Phone number: 207-662-5610
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Mailing Address
-- KELLY L OSBORNE FNP
301C US ROUTE 1
SCARBOROUGH, ME 04074-9701
Phone number: 207-396-8600
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