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1013282961
SHENIKA SHAREE KELLY
JACKSON, MS
NPI
1013282961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS MS3644-12)
Enumeration Date
2012-03-11
Last Update Date
2018-06-03
Business Address
SHENIKA SHAREE KELLY
514 E WOODROW WILSON AVE STE G
JACKSON, MS 39216
Phone number: 769-572-4425
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Mailing Address
SHENIKA SHAREE KELLY
219 GREENFIELD RIDGE DR
BRANDON, MS 39042-7023
Phone number: 601-672-6085
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