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1811502578
KELLY MARIE WHALEN
GASTONIA, NC
NPI
1811502578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-14158)
Enumeration Date
2020-09-10
Last Update Date
2024-07-15
Business Address
KELLY MARIE WHALEN PA
2610 ABERDEEN BLVD
GASTONIA, NC 28054-0637
Phone number: 980-442-4500
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Mailing Address
KELLY MARIE WHALEN PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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