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1720061203
LISA M GONDEK KELLY
GREENVILLE, SC
NPI
1720061203
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Professional Name
LISA M KELLY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC 525)
Enumeration Date
2005-11-29
Last Update Date
2022-01-20
Business Address
LISA M GONDEK KELLY CRNA
7 INDEPENDENCE PT STE 300
GREENVILLE, SC 29615-4569
Phone number: 864-522-3700
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Mailing Address
LISA M GONDEK KELLY CRNA
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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