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1487200598
BOB KELSEY
SMITHVILLE, TN
NPI
1487200598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-14
Last Update Date
2019-08-14
Business Address
Mr. BOB KELSEY LADAC, LPN, EMT
115 W MARKET ST
SMITHVILLE, TN 37166-1725
Phone number: 931-319-7553
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Mailing Address
Mr. BOB KELSEY LADAC, LPN, EMT
2637 PREAKNESS DR
COOKEVILLE, TN 38506-5612
Phone number: 931-319-7553
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