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1831248715
KELLY A. RICHARDSON
BEAUMONT, TX
NPI
1831248715
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Other Name
KELLY A. WHEELER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02363)
Enumeration Date
2007-01-09
Last Update Date
2016-06-16
Business Address
Ms. KELLY A. RICHARDSON PA-C
2830 CALDER ST
BEAUMONT, TX 77702-1809
Phone number: 409-781-1014
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Mailing Address
Ms. KELLY A. RICHARDSON PA-C
237 RIDGELAND ST
BEAUMONT, TX 77706-4510
Phone number: 409-781-1014
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