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1801356605
KELLY MARIE WARE
PETALUMA, CA
NPI
1801356605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95011357)
Enumeration Date
2019-03-20
Last Update Date
2019-09-20
Business Address
KELLY MARIE WARE NP
1179 N MCDOWELL BLVD
PETALUMA, CA 94954-6559
Phone number: 707-559-7500
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Mailing Address
KELLY MARIE WARE NP
1179 N MCDOWELL BLVD
PETALUMA, CA 94954-6559
Phone number: 707-559-7500
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