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1376744912
JOHN D KELLEY
RICHARDSON, TX
NPI
1376744912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: TX 1245)
Additional Taxonomies
222Z00000X Orthotist
(Licence: TX 1245)
Enumeration Date
2007-05-30
Last Update Date
2012-03-15
Business Address
Mr. JOHN D KELLEY LPO, CFO
1110 W SHORE DR SUITE 400D
RICHARDSON, TX 75080-4054
Phone number: 972-470-0300
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Mailing Address
Mr. JOHN D KELLEY LPO, CFO
1110 W SHORE DR SUITE 400D
RICHARDSON, TX 75080-4054
Phone number: 972-470-0300
Copy
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