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1801630926
IRVING RICHARD KELLEY
FALLS CHURCH, VA
NPI
1801630926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA 0116039276)
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
IRVING RICHARD KELLEY
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-3582
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Mailing Address
IRVING RICHARD KELLEY
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-3582
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