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1164613956
LAURA LANE KELLY
FLORENCE, SC
NPI
1164613956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 5521)
Enumeration Date
2007-08-06
Last Update Date
2007-08-06
Business Address
Ms. LAURA LANE KELLY PT
555 E CHEVES ST
FLORENCE, SC 29506-2617
Phone number: 843-777-6700
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Mailing Address
Ms. LAURA LANE KELLY PT
1622 MAIN ST P O BOX 862
TURBEVILLE, SC 29162
Phone number: 843-659-3733
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