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1427520634
JUSTIN KELLY
ST. LOUIS, MO
NPI
1427520634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NS0005X Chiropractor, Sports Physician
(Licence: MO 111NS0005X)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
Dr. JUSTIN KELLY DC
8011 MARYLAND AVENUE
ST. LOUIS, MO 63105
Phone number: 989-619-4839
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Mailing Address
Dr. JUSTIN KELLY DC
71 SAN TANA CT
CEDAR HILL, MO 63016
Phone number: 989-619-4839
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