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1639405806
KELLY MARIE PORTER
MASSILLON, OH
NPI
1639405806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date
2009-10-23
Last Update Date
2009-10-23
Business Address
Mrs. KELLY MARIE PORTER
525 HARDING AVE NW
MASSILLON, OH 44646-3252
Phone number: 330-704-1277
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Mailing Address
Mrs. KELLY MARIE PORTER
525 HARDING AVE NW
MASSILLON, OH 44646-3252
Phone number: 330-704-1277
Copy
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