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1740024033
KELLY MCSHANE
JACKSONVILLE, FL
NPI
1740024033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11033535)
Enumeration Date
2024-06-21
Last Update Date
2024-06-26
Business Address
KELLY MCSHANE PMHNP
4479 ROCKY RIVER RD W FL 32224
JACKSONVILLE, FL 32224-8685
Phone number: 386-295-3547
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Mailing Address
KELLY MCSHANE PMHNP
4479 ROCKY RIVER RD W FL 32224
JACKSONVILLE, FL 32224-8685
Phone number: 386-295-3547
Copy
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