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1790247658
DOMINIQUE KELLY
CHARLOTTE, NC
NPI
1790247658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
DOMINIQUE KELLY
1401 E 7TH ST
CHARLOTTE, NC 28204-6300
Phone number: 704-461-3037
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Mailing Address
DOMINIQUE KELLY
7311 BOWSPRIT CT
WENDELL, NC 27591-7278
Phone number: 919-633-0718
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