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1700120540
MARY CAROLINE KELLEY
LAKEWOOD, WA
NPI
1700120540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP60580649)
Enumeration Date
2012-11-16
Last Update Date
2022-07-27
Business Address
Dr. MARY CAROLINE KELLEY NP
9811 WHITMAN AVE SW APT 20
LAKEWOOD, WA 98499-1723
Phone number: 628-800-4217
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Mailing Address
Dr. MARY CAROLINE KELLEY NP
PO BOX 162
BRISBANE, CA 94005-0162
Phone number: 628-800-4217
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