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1932123098
ERICA AULT KELLY
STATESVILLE, NC
NPI
1932123098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 001000219)
Enumeration Date
2006-07-26
Last Update Date
2008-01-24
Business Address
-- ERICA AULT KELLY PA-C
208 OID MOCKSVILLE ROAD
STATESVILLE, NC 28625
Phone number: 704-838-8210
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Mailing Address
-- ERICA AULT KELLY PA-C
650 SIGNAL HILL DRIVE EXT PO BOX 1845
STATESVILLE, NC 28625-4353
Phone number: 704-873-4277
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