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Individual

ALLISON KELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2935 S RECKER RD, GILBERT, AZ 85295-7846
(480) 279-7000
(480) 279-7500
Mailing address
2935 S RECKER RD, GILBERT, AZ 85295-7846

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1623636
CO

Other

Enumeration date
12/13/2013
Last updated
10/17/2016
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