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1215553714
KELLY BERRIDGE
HONOLULU, HI
NPI
1215553714
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Former Name
KELLY SAMPLES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: HI 14088847)
Enumeration Date
2020-06-19
Last Update Date
2021-03-23
Business Address
Mrs. KELLY BERRIDGE M.s., SLP-CCC
226 N KUAKINI ST
HONOLULU, HI 96817-2488
Phone number: 808-531-3511
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Mailing Address
Mrs. KELLY BERRIDGE M.s., SLP-CCC
226 N KUAKINI ST
HONOLULU, HI 96817-2498
Phone number: 808-542-6454
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