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1619214079
KELLY NICOLE CAMPBELL
MILLSBORO, DE
NPI
1619214079
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Former Name
KELLY NICOLE LEONARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0013477)
Enumeration Date
2013-01-05
Last Update Date
2014-11-04
Business Address
Mrs. KELLY NICOLE CAMPBELL PTA
26585 RALEIGH RD
MILLSBORO, DE 19966-7045
Phone number: 443-783-7223
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Mailing Address
Mrs. KELLY NICOLE CAMPBELL PTA
24436 E LOUISIANA CIRCLE
AURORA, CO 80018
Phone number: 443-783-7223
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