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1689066995
KELLI DEFOE
BARTOW, FL
NPI
1689066995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2015-02-24
Last Update Date
2015-02-24
Business Address
-- KELLI DEFOE
1239 E MAIN ST
BARTOW, FL 33830-5058
Phone number: 863-519-0575
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Mailing Address
-- KELLI DEFOE
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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