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1225018427
THEODORE KELLY
PENSACOLA, FL
NPI
1225018427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: PA 007184P)
Enumeration Date
2006-01-23
Last Update Date
2007-07-08
Business Address
-- THEODORE KELLY OD
1972 DUNLAP ST
PENSACOLA, FL 32507-1400
Phone number: 850-452-5242
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Mailing Address
-- THEODORE KELLY OD
1972 DUNLAP ST
PENSACOLA, FL 32507-1400
Phone number: 850-452-5242
Copy
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