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Individual
KELSEY HOUSE
Active
Individual
KELSEY HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704318096
MI
363LG0600X
Gerontology Nurse Practitioner
ARNP9268237
FL
Other
Enumeration date
03/08/2015
Last updated
10/18/2022
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