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1114211265
KELLY DALE GREGORY
WILMINGTON, NC
NPI
1114211265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NC 8941)
Enumeration Date
2011-06-07
Last Update Date
2012-07-06
Business Address
KELLY DALE GREGORY MS CCC-SLP
1011 PORTERS NECK RD
WILMINGTON, NC 28411-9196
Phone number: 910-319-2119
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Mailing Address
KELLY DALE GREGORY MS CCC-SLP
7300 VESPAR CT
WILMINGTON, NC 28411-7355
Phone number: 814-316-1353
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