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1811365018
KELLY MANDARA
RALEIGH, NC
NPI
1811365018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2015-09-04
Last Update Date
2015-09-04
Business Address
-- KELLY MANDARA
4030 WAKE FOREST RD SUITE 349
RALEIGH, NC 27609-6800
Phone number: 336-465-8804
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Mailing Address
-- KELLY MANDARA
500 FAIRWAY DR STE 102
DEERFIELD BEACH, FL 33441-1817
Phone number: 888-880-9270
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