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1154016301
JALISA MARIE KELLY
WASHINGTON, DC
NPI
1154016301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC 00000)
Enumeration Date
2023-04-05
Last Update Date
2023-04-05
Business Address
JALISA MARIE KELLY
4001 S CAPITOL ST SW APT 129
WASHINGTON, DC 20032-1368
Phone number: 202-230-8644
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Mailing Address
JALISA MARIE KELLY
4001 S CAPITOL ST SW APT 207
WASHINGTON, DC 20032-1373
Phone number: 202-491-7689
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