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1144877994
SHANA KELLY
PHOENIX, AZ
NPI
1144877994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ TSLP12051)
Enumeration Date
2019-08-26
Last Update Date
2019-08-26
Business Address
SHANA KELLY
25250 N 35TH AVE
PHOENIX, AZ 85083-4335
Phone number: 623-445-7100
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Mailing Address
SHANA KELLY
20402 N 15TH AVE
PHOENIX, AZ 85027-3699
Phone number:
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