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1548608920
JAMES KELLY BAZELAIS
KENNETT SQUARE, PA
NPI
1548608920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
(Licence: PA OP007379)
Enumeration Date
2013-06-07
Last Update Date
2013-06-07
Business Address
Mr. JAMES KELLY BAZELAIS OTA
600 S BROAD ST
KENNETT SQUARE, PA 19348-3346
Phone number: 610-924-4561
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Mailing Address
Mr. JAMES KELLY BAZELAIS OTA
944 E JOHNSON ST
PHILADELPHIA, PA 19138-1065
Phone number: 267-983-7030
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