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1740854009
BRIAN KELLEY
NORFOLK, VA
NPI
1740854009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Additional Taxonomies
385H00000X Respite Care
Enumeration Date
2021-05-19
Last Update Date
2021-05-19
Business Address
BRIAN KELLEY
5635 RABY RD STE D
NORFOLK, VA 23502-2465
Phone number: 757-956-5257
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Mailing Address
BRIAN KELLEY
5635 RABY RD STE D
NORFOLK, VA 23502-2465
Phone number: 757-956-5257
Copy
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