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1912742552
KELLY LY
HILLSBORO, OR
NPI
1912742552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
KELLY LY PA-S
222 SE 8TH AVE
HILLSBORO, OR 97123-4218
Phone number: 503-352-6151
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Mailing Address
KELLY LY PA-S
10543 VENITA ST
EL MONTE, CA 91731-1919
Phone number:
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