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1659343218
TIM F KELLY
WEST POINT, NY
NPI
1659343218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NY 000006-1)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
MR. TIM F KELLY ATC
1015B MERRITT RD
WEST POINT, NY 10996-1321
Phone number: 845-446-5182
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Mailing Address
MR. TIM F KELLY ATC
1015B MERRITT RD
WEST POINT, NY 10996-1321
Phone number: 845-446-5182
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