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1992776256
KELLYE LYNNE PENDERGRASS
PENSACOLA, FL
NPI
1992776256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 1804142)
Enumeration Date
2006-01-26
Last Update Date
2007-07-08
Business Address
Miss KELLYE LYNNE PENDERGRASS ARNP
6000 W HIGHWAY 98
PENSACOLA, FL 32512-0001
Phone number: 850-505-6199
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Mailing Address
Miss KELLYE LYNNE PENDERGRASS ARNP
5660 RAUGHTON RD
MILTON, FL 32583-9159
Phone number: 850-623-1008
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