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1841555281
KELLY LYNN LILLIE
ALBERT LEA, MN
NPI
1841555281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MN R2065946)
Enumeration Date
2012-07-11
Last Update Date
2024-03-13
Business Address
KELLY LYNN LILLIE RN, CNP
2440 BRIDGE AVE
ALBERT LEA, MN 56007-2088
Phone number: 507-320-7900
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Mailing Address
KELLY LYNN LILLIE RN, CNP
621 S ILLINOIS AVE STE 103
MASON CITY, IA 50401-5489
Phone number: 641-428-3041
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