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1154809580
KELLY STAMBAUGH
CHESAPEAKE, VA
NPI
1154809580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131001308)
Enumeration Date
2018-07-28
Last Update Date
2018-07-28
Business Address
KELLY STAMBAUGH COTA/L
301 CLEARFIELD AVE
CHESAPEAKE, VA 23320-4099
Phone number: 757-315-6900
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Mailing Address
KELLY STAMBAUGH COTA/L
2252 BARTHOLOMEWS XING # X-ING
VIRGINIA BEACH, VA 23456-5251
Phone number: 757-286-0975
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