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1003239112
DARRIS KELLY
PAHRUMP, NV
NPI
1003239112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-01-24
Last Update Date
2014-01-24
Business Address
-- DARRIS KELLY
1017 E BASIN AVE STE 3
PAHRUMP, NV 89060-4532
Phone number: 775-751-0444
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Mailing Address
-- DARRIS KELLY
1017 E BASIN AVE STE 3
PAHRUMP, NV 89060-4532
Phone number: 775-751-0444
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