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1114409810
JESSICA R KELLEY
LEAGUE CITY, TX
NPI
1114409810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2097615)
Enumeration Date
2018-08-30
Last Update Date
2018-08-30
Business Address
JESSICA R KELLEY
411 ALABAMA AVE
LEAGUE CITY, TX 77573-2615
Phone number: 281-332-9588
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Mailing Address
JESSICA R KELLEY
3460 ASH LN
DEER PARK, TX 77536-5048
Phone number:
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