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1447554134
KELLI LEE STARK
SCHENECTADY, NY
NPI
1447554134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 200151-1)
Enumeration Date
2011-01-10
Last Update Date
2011-01-10
Business Address
Ms. KELLI LEE STARK LPN
2057 CALDICOTT RD
SCHENECTADY, NY 12303-2319
Phone number: 518-858-0946
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Mailing Address
Ms. KELLI LEE STARK LPN
2057 CALDICOTT RD
SCHENECTADY, NY 12303-2319
Phone number: 518-355-5363
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