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1699537159
MICHAEL KELLY
YAKIMA, WA
NPI
1699537159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: AR R102525)
Enumeration Date
2024-01-29
Last Update Date
2024-01-29
Business Address
MICHAEL KELLY
2811 TIETON DR
YAKIMA, WA 98902-3761
Phone number: 509-575-8000
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Mailing Address
MICHAEL KELLY
7507 KRISTEN CIR
MABELVALE, AR 72103-8947
Phone number:
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