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1245824184
KEENYA ELLIS
CHARLOTTE, NC
NPI
1245824184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
Enumeration Date
2021-02-22
Last Update Date
2021-02-22
Business Address
KEENYA ELLIS
9618 JACK RUSSELL CT
CHARLOTTE, NC 28269-5207
Phone number: 347-224-4746
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Mailing Address
KEENYA ELLIS
9618 JACK RUSSELL CT
CHARLOTTE, NC 28269-5207
Phone number: 347-224-4746
Copy
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