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1043583289
KELLY M LIENEKE
MELBOURNE, FL
NPI
1043583289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: FL MA55378)
Enumeration Date
2012-02-20
Last Update Date
2012-02-20
Business Address
-- KELLY M LIENEKE LMT
6300 N WICKHAM RD STE 116
MELBOURNE, FL 32940-2023
Phone number: 321-757-6899
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Mailing Address
-- KELLY M LIENEKE LMT
3206 S HOPKINS AVE # 19
TITUSVILLE, FL 32780-5667
Phone number: 321-757-6899
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