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1083219349
SHANDA LYNN KELLEY
PARKERSBURG, WV
NPI
1083219349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
SHANDA LYNN KELLEY
1222 MARKET ST
PARKERSBURG, WV 26101-4323
Phone number: 304-865-5420
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Mailing Address
SHANDA LYNN KELLEY
2005 36TH ST
PARKERSBURG, WV 26104-2123
Phone number: 304-615-8571
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