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1104251271
KELLY MAINE
ERIE, PA
NPI
1104251271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT022904)
Enumeration Date
2013-09-09
Last Update Date
2013-09-09
Business Address
-- KELLY MAINE DPT
2111 W 8TH ST
ERIE, PA 16505-4707
Phone number: 814-456-5151
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Mailing Address
-- KELLY MAINE DPT
3401 TONAWANDA CREEK RD
AMHERST, NY 14228-1506
Phone number:
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