JAMES KELLY BAZELAIS

KENNETT SQUARE, PA
NPI1548608920
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy247200000X Technician, Other
(Licence: PA  OP007379)
Enumeration Date2013-06-07
Last Update Date2013-06-07
Business Address
Mr. JAMES KELLY BAZELAIS OTA
600 S BROAD ST
KENNETT SQUARE, PA 19348-3346
Phone number: 610-924-4561
Mailing Address
Mr. JAMES KELLY BAZELAIS OTA
944 E JOHNSON ST
PHILADELPHIA, PA 19138-1065
Phone number: 267-983-7030
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