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1972911584
NIOLE KELLY
PORT JEFFERSON, NY
NPI
1972911584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 289476-1)
Enumeration Date
2014-07-28
Last Update Date
2014-07-28
Business Address
-- NIOLE KELLY LPN
3 RANGER LN
PORT JEFFERSON, NY 11777-2081
Phone number: 631-873-7422
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Mailing Address
-- NIOLE KELLY LPN
3 RANGER LN
PORT JEFFERSON, NY 11777-2081
Phone number: 631-873-7422
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