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1215496567
SUEWAKO F KELLY
BEAUMONT, TX
NPI
1215496567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2019-03-17
Last Update Date
2019-03-17
Business Address
SUEWAKO F KELLY
6155 SIENNA TRL APT 708
BEAUMONT, TX 77708-4358
Phone number: 409-351-7598
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Mailing Address
SUEWAKO F KELLY
6155 SIENNA TRL APT 708
BEAUMONT, TX 77708-4358
Phone number: 409-767-6446
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