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1710517388
KELLY SKONER
DOUGLASVILLE, GA
NPI
1710517388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN267340)
Enumeration Date
2020-01-22
Last Update Date
2023-04-09
Business Address
KELLY SKONER
3872 HIGHWAY 5
DOUGLASVILLE, GA 30135-3366
Phone number: 770-949-5535
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Mailing Address
KELLY SKONER
180 SADDLE HORSE LN
HIRAM, GA 30141-2379
Phone number: 714-745-4458
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