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1871593004
ANDREW EDWARD KELLY
SAN RAFAEL, CA
NPI
1871593004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 15707)
Enumeration Date
2005-07-29
Last Update Date
2007-07-11
Business Address
Mr. ANDREW EDWARD KELLY P.T.
165 N REDWOOD DR
SAN RAFAEL, CA 94903-1969
Phone number: 415-499-0278
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Mailing Address
Mr. ANDREW EDWARD KELLY P.T.
165 N REDWOOD DR
SAN RAFAEL, CA 94903-1970
Phone number: 415-499-0278
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