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1023517828
KATHRYN KELLY ANDERSON
CALLAHAN, FL
NPI
1023517828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL PTA24543)
Enumeration Date
2018-02-07
Last Update Date
2018-03-17
Business Address
KATHRYN KELLY ANDERSON PTA
45390 GREEN AVE
CALLAHAN, FL 32011-3711
Phone number: 904-879-1223
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Mailing Address
KATHRYN KELLY ANDERSON PTA
PO BOX 1609
CALLAHAN, FL 32011-1609
Phone number: 904-879-1223
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