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1194213785
BRIAN KELLEY
CHAPEL HILL, NC
NPI
1194213785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC 50147606)
Enumeration Date
2018-04-29
Last Update Date
2018-04-29
Business Address
BRIAN KELLEY
102 MASON FARM RD
CHAPEL HILL, NC 27599-6134
Phone number: 919-966-1459
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Mailing Address
BRIAN KELLEY
3133 NAPOLEON AVE
NEW ORLEANS, LA 70125-5119
Phone number: 318-572-2829
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