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1891326765
KELLY JOE STANLEY
PLANO, TX
NPI
1891326765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date
2020-01-30
Last Update Date
2020-02-26
Business Address
KELLY JOE STANLEY RT
6901 AVENUE K 109
PLANO, TX 75074
Phone number: 214-620-4549
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Mailing Address
KELLY JOE STANLEY RT
PO BOX 262449
PLANO, TX 75026-2449
Phone number: 214-620-4549
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