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JULIA FAYE KELLUM

Attendant Care Provider >> Technician >> Nursing Service Related Providers

Registrant NPI Number: 1144870148

Individual Registrant:
 JULIA FAYE KELLUM 
Gender: F
Sole Proprietor

Location and contact information for practice:
19983 CR 368  JEWETT, TX 75846-5015 US
Tel: 903-626-6906  Fax: --

Contact information for business:
19983 CR 368  JEWETT, TX 75846-5015 US
Tel: 903-626-6906  Fax: --

Registration Information:
NPI: 1144870148
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3747A0650XNursing Service Related Providers
Technician
Attendant Care Provider

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS TX - Page 1



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