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1073710406
LESLIE SUZANNE KELLY
SOMERSET, KY
NPI
1073710406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY AO1979)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
Mrs. LESLIE SUZANNE KELLY PTA
200 NORFLEET DR
SOMERSET, KY 42501-1952
Phone number: 606-678-5104
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Mailing Address
Mrs. LESLIE SUZANNE KELLY PTA
557 SYCAMORE DR
BRONSTON, KY 42518-9679
Phone number: 606-561-7472
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