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1003895251
BRENDA KELLEY
JONESBORO, AR
NPI
1003895251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AR PTA1770)
Enumeration Date
2006-01-14
Last Update Date
2007-07-09
Business Address
-- BRENDA KELLEY PTA1770
1003 EVERGREEN DR
JONESBORO, AR 72401-9783
Phone number: 870-886-8715
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Mailing Address
-- BRENDA KELLEY PTA1770
1003 EVERGREEN DR
JONESBORO, AR 72401-9783
Phone number: 870-886-8715
Copy
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