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1134711930
EMMANUEL KELLEY
MORGANTOWN, WV
NPI
1134711930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV 002713)
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
EMMANUEL KELLEY
161 BAKERS RIDGE RD
MORGANTOWN, WV 26508-1459
Phone number: 304-285-0692
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Mailing Address
EMMANUEL KELLEY
56 HICKORY RD
UNIONTOWN, PA 15401-2247
Phone number: 724-931-1039
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