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1770653784
KELLY M DALE
MARYSVILLE, WA
NPI
1770653784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP30005577)
Enumeration Date
2006-11-08
Last Update Date
2012-12-11
Business Address
-- KELLY M DALE ARNP
4420 76TH ST NE
MARYSVILLE, WA 98270-3726
Phone number: 360-651-7493
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Mailing Address
-- KELLY M DALE ARNP
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 425-258-3900
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