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1699774505
JACQUELINE KELLY
AUSTIN, TX
NPI
1699774505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: TX F6266)
Enumeration Date
2005-07-21
Last Update Date
2007-07-08
Business Address
Dr. JACQUELINE KELLY MD
300 E 8TH ST G-159
AUSTIN, TX 78701-3233
Phone number: 512-587-0065
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Mailing Address
Dr. JACQUELINE KELLY MD
904 W 30TH ST
AUSTIN, TX 78705-2104
Phone number: 512-587-0065
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