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1689862658
KELLY LYNN ROACH
RAPID CITY, SD
NPI
1689862658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SD 0224)
Enumeration Date
2007-10-04
Last Update Date
2007-10-04
Business Address
MRS. KELLY LYNN ROACH PTA
3335 PALM DR APT 1
RAPID CITY, SD 57701-2069
Phone number: 605-390-8545
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Mailing Address
MRS. KELLY LYNN ROACH PTA
3335 PALM DR APT 1
RAPID CITY, SD 57701-2069
Phone number: 605-390-8545
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