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1316712599
KELLY PEREIRA
NAMPA, ID
NPI
1316712599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2023-11-17
Last Update Date
2023-11-17
Business Address
KELLY PEREIRA
511 18TH AVE S
NAMPA, ID 83651-4743
Phone number: 208-340-5074
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Mailing Address
KELLY PEREIRA
511 18TH AVE S
NAMPA, ID 83651-4743
Phone number:
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