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1144213000
KELLY CARPENTER
SUN CITY, AZ
NPI
1144213000
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Former Name
KELLY MINER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2005-08-25
Last Update Date
2008-05-05
Business Address
-- KELLY CARPENTER RD
10401 W THUNDERBIRD BLVD
SUN CITY, AZ 85351-3004
Phone number: 623-876-5455
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Mailing Address
-- KELLY CARPENTER RD
PO BOX 53568 SUN HEALTH CLINICS BUSINESS OFFICE
PHOENIX, AZ 85072
Phone number: 623-544-5075
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