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1427675107
SHAWN KELLY
WASILLA, AK
NPI
1427675107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
SHAWN KELLY
300 W SWANSON AVE
WASILLA, AK 99654-6844
Phone number: 907-315-4790
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Mailing Address
SHAWN KELLY
PO BOX 299075
WASILLA, AK 99629-9075
Phone number: 907-315-4790
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