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Individual

PHILOMENA NUFUNKUEN KELI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
R193082
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
R193082
MD

Other

Enumeration date
04/10/2020
Last updated
08/25/2023
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