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1194069930
KELLY SHEA
MERRICK, NY
NPI
1194069930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2012-11-17
Last Update Date
2012-11-17
Business Address
Mrs. KELLY SHEA
29 W LOINES AVE
MERRICK, NY 11566-3072
Phone number: 516-377-2837
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Mailing Address
Mrs. KELLY SHEA
29 W LOINES AVE
MERRICK, NY 11566-3072
Phone number: 516-377-2837
Copy
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