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Individual

KELLI M THON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
590 FISHERS STATION DR, SUITE 130, VICTOR, NY 14564-9744
(585) 924-7207
(585) 924-7049
Mailing address
590 FISHERS STATION DR, SUITE 130, VICTOR, NY 14564-9744
(585) 924-7207
(585) 924-7049

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
016210
NY

Other

Enumeration date
07/01/2010
Last updated
07/01/2010
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