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1518357706
KELLY LAROSE
LEWISBURG, TN
NPI
1518357706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-01-27
Last Update Date
2015-01-27
Business Address
KELLY LAROSE
1221 NASHVILLE HWY
LEWISBURG, TN 37091-2221
Phone number: 860-455-3168
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Mailing Address
KELLY LAROSE
9513 ELK RIDGE RD
MT PLEASANT, TN 38474-2212
Phone number: 860-455-3168
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