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Individual

KELLEY MAMEDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
402 S STATE ST, MARION, OH 43302-5000
(740) 387-0650
Mailing address
70 BUR REED RD, DELAWARE, OH 43015-3676
(330) 620-9432

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/15/2020
Last updated
08/18/2022
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