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1801187158
LISA KELLY
GRAND PRAIRIE, TX
NPI
1801187158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: TX PA05811)
Enumeration Date
2011-04-20
Last Update Date
2022-04-04
Business Address
LISA KELLY PA-C
2740 N HWY 360
GRAND PRAIRIE, TX 75050-6403
Phone number: 972-606-8300
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Mailing Address
LISA KELLY PA-C
925 WILDWOOD CIR
GRAPEVINE, TX 76051-6275
Phone number:
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