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1114483435
KELLIE HARRIS
SUMMERVILLE, SC
NPI
1114483435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: SC 3851)
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
KELLIE HARRIS PTA
201 W 9TH NORTH ST
SUMMERVILLE, SC 29483-6721
Phone number: 843-804-7033
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Mailing Address
KELLIE HARRIS PTA
106 BLUE HERON DR
SUMMERVILLE, SC 29485-5402
Phone number: 419-584-6497
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