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1760199483
TAMMY LYNN KELLY
CHARLESTON, WV
NPI
1760199483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
TAMMY LYNN KELLY
405 WISE ACRES DR
CHARLESTON, WV 25311-9636
Phone number: 304-996-4025
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Mailing Address
TAMMY LYNN KELLY
405 WISE ACRES DR
CHARLESTON, WV 25311-9636
Phone number: 304-996-4025
Copy
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