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1710798525
OWEN KELLY
PALMER, AK
NPI
1710798525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2025-01-20
Last Update Date
2025-01-21
Business Address
OWEN KELLY
950 S SNODGRASS DR
PALMER, AK 99645-9750
Phone number: 907-373-4732
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Mailing Address
OWEN KELLY
PO BOX 876741
WASILLA, AK 99687-6741
Phone number:
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