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1235695206
SHARON MAGGIE KELLY
GARY, IN
NPI
1235695206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2019-02-14
Last Update Date
2019-02-14
Business Address
SHARON MAGGIE KELLY
4747 W 24TH AVE
GARY, IN 46406-2821
Phone number: 219-240-8615
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Mailing Address
SHARON MAGGIE KELLY
4747 W 24TH AVE
GARY, IN 46406-2821
Phone number: 219-240-8615
Copy
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