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1417097908
KELLY FAIRMAN
DURHAM, NC
NPI
1417097908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 5089)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- KELLY FAIRMAN
5720 FAYETTEVILLE RD SUITE 211
DURHAM, NC 27713-9089
Phone number: 919-484-9931
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Mailing Address
-- KELLY FAIRMAN
6015 FAYETTEVILLE RD SUITE 211
DURHAM, NC 27713-6254
Phone number: 919-572-0001
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