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1114969961
RICHARD LANCE KELLY
COLUMBUS, GA
NPI
1114969961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 6446)
Enumeration Date
2006-06-12
Last Update Date
2013-10-21
Business Address
Mr. RICHARD LANCE KELLY MPT,ATC
3075 TOWER RD
COLUMBUS, GA 31904
Phone number: 706-593-7719
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Mailing Address
Mr. RICHARD LANCE KELLY MPT,ATC
119 VILLAGE CT
HAMILTON, GA 31811-6078
Phone number: 706-628-0051
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