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1376835520
KELLY CARSON
SAINT PETERSBURG, FL
NPI
1376835520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: FL 1988)
Enumeration Date
2011-05-06
Last Update Date
2011-05-06
Business Address
-- KELLY CARSON PTA
4100 14TH ST NE
SAINT PETERSBURG, FL 33703-5328
Phone number: 727-455-8305
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Mailing Address
-- KELLY CARSON PTA
35746 HARPER AVE
CLINTON TWP, MI 48035-3212
Phone number: 813-455-9621
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