KELLY GRAVES

MEDFORD, NY
NPI1801203872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  277185-1)
Enumeration Date2014-07-22
Last Update Date2014-07-22
Business Address
-- KELLY GRAVES
96 JAMAICA AVE
MEDFORD, NY 11763-3518
Phone number: 631-707-6065
Mailing Address
-- KELLY GRAVES
96 JAMAICA AVE
MEDFORD, NY 11763-3518
Phone number: 631-707-6065
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