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1740934207
JAMES JOSEPH KELLY
BRISTOW, VA
NPI
1740934207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701011158)
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
Mr. JAMES JOSEPH KELLY
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136-1223
Phone number: 703-636-5104
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Mailing Address
Mr. JAMES JOSEPH KELLY
12463 HADRIANS CT
BRISTOW, VA 20136-3074
Phone number: 267-825-3645
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