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1104498344
TRACY KELLAM
YOUNGSTOWN, OH
NPI
1104498344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: OH 0325993)
Enumeration Date
2021-07-16
Last Update Date
2021-07-16
Business Address
TRACY KELLAM
4120 EUCLID BLVD
YOUNGSTOWN, OH 44512-1305
Phone number: 330-984-1505
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Mailing Address
TRACY KELLAM
4120 EUCLID BLVD
YOUNGSTOWN, OH 44512-1305
Phone number: 330-984-1505
Copy
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