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Individual
KELLI C EARLS
Active
Individual
KELLI C EARLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAAA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
007317
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151324A
—
GA
Enumeration date
09/18/2014
Last updated
12/02/2015
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