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1215629431
BRUCE KELLEY
FALLING WATERS, WV
NPI
1215629431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
BRUCE KELLEY
184 MURPHY LN
FALLING WATERS, WV 25419-4246
Phone number: 304-279-8084
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Mailing Address
BRUCE KELLEY
184 MURPHY LN
FALLING WATERS, WV 25419-4246
Phone number: 304-279-8084
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