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Individual

JOSEPH KELLY REMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SDVOSB

Contact information

Practice address
3280 W POWERS AVE STE E, BELL, FL 32619-2403
(318) 658-5227
Mailing address
79 NW 55TH AVE, BELL, FL 32619-2840
(318) 658-5227

Taxonomy

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

Other

Enumeration date
10/02/2024
Last updated
10/03/2024
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