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1396776290
ELLEN BETH KELLY
DECATUR, GA
NPI
1396776290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA AT001002)
Enumeration Date
2006-07-06
Last Update Date
2007-07-08
Business Address
-- ELLEN BETH KELLY ATC
5040 SNAPFINGER WOODS DR SUITE 205
DECATUR, GA 30035-4020
Phone number: 678-205-5736
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Mailing Address
-- ELLEN BETH KELLY ATC
5703 NEWNAN CIR
AUSTELL, GA 30106-3197
Phone number: 404-273-5012
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