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1508054289
SHARON A KELLEY
GREEN BAY, WI
NPI
1508054289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 575-019)
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
SHARON A KELLEY PTA
1630 COMMANCHE AVE
GREEN BAY, WI 54313-6089
Phone number: 920-430-4746
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Mailing Address
SHARON A KELLEY PTA
1630 COMMANCHE AVE
GREEN BAY, WI 54313-6089
Phone number: 920-430-4746
Copy
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