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1871217463
SHAWANDA KELLY
IRWIN, PA
NPI
1871217463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
SHAWANDA KELLY
1015 PENNSYLVANIA AVE # A
IRWIN, PA 15642-3737
Phone number: 866-287-2036
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Mailing Address
SHAWANDA KELLY
1015 PENNSYLVANIA AVE # A
IRWIN, PA 15642-3737
Phone number: 866-287-2036
Copy
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