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Individual

MRS. KRISTIE ALICE JEWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
175 BLUEBERRY LANE, LACONIA CENTER, LACONIA, NH 03246
(603) 524-3340
Mailing address
53 WOODLAND DR, BELMONT, NH 03220-3836
(603) 528-9490

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1449
NH

Other

Enumeration date
06/14/2007
Last updated
07/08/2007
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