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1689873275
BRENDAN S KELLY
FARGO, ND
NPI
1689873275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ND 666)
Additional Taxonomies
152W00000X Optometrist
(Licence: CO 2604)
Enumeration Date
2007-07-13
Last Update Date
2024-04-25
Business Address
BRENDAN S KELLY O.D.
1717 UNIVERSITY DR S
FARGO, ND 58103-4939
Phone number: 701-461-5100
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Mailing Address
BRENDAN S KELLY O.D.
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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