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1134660038
MARCHEL KELLEY
BUFFALO, WY
NPI
1134660038
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Entity Type
Organization
Authorized Contact
ANN M KELLEY
Fsp
307-620-1821
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2017-03-13
Last Update Date
2017-03-13
Business Address
MARCHEL KELLEY
5 N WYOMING AVE
BUFFALO, WY 82834-2014
Phone number: 307-620-1821
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Mailing Address
MARCHEL KELLEY
5 N WYOMING AVE
BUFFALO, WY 82834-2014
Phone number: 307-620-1821
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