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1689130981
STACEY KELSO
SUMTER, SC
NPI
1689130981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 5270)
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
STACEY KELSO OTR/L
585 SAINT AUGUSTINE DR
SUMTER, SC 29150-6008
Phone number: 614-477-9214
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Mailing Address
STACEY KELSO OTR/L
585 SAINT AUGUSTINE DR
SUMTER, SC 29150-6008
Phone number: 614-477-9214
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