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1235634882
KELLY SALMON
MASTIC, NY
NPI
1235634882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2018-03-27
Last Update Date
2018-03-27
Business Address
KELLY SALMON
112 MADISON ST
MASTIC, NY 11950-3931
Phone number: 631-294-1419
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Mailing Address
KELLY SALMON
112 MADISON ST
MASTIC, NY 11950-3931
Phone number: 631-294-1419
Copy
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