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1609998632
SCOTT MICHAEL KELLY
PHOENIX, AZ
NPI
1609998632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS 00477)
Enumeration Date
2007-04-03
Last Update Date
2007-08-12
Business Address
SCOTT MICHAEL KELLY MS, ATC, LAT
1701 E COLTER ST APT 209
PHOENIX, AZ 85016-3374
Phone number: 602-803-8212
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Mailing Address
SCOTT MICHAEL KELLY MS, ATC, LAT
1701 E COLTER ST APT 209
PHOENIX, AZ 85016-3374
Phone number: 602-803-8212
Copy
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