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1366500258
MICHAEL R KELLY
ROME, NY
NPI
1366500258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 002358-1)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- MICHAEL R KELLY
107 E CHESTNUT ST SUITE 104
ROME, NY 13440-2834
Phone number: 315-337-7952
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Mailing Address
-- MICHAEL R KELLY
808 N GEORGE ST APT 3
ROME, NY 13440-3410
Phone number:
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