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1902098007
KELLY JOHN CORBRIDGE
KINGMAN, AZ
NPI
1902098007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 829)
Enumeration Date
2007-08-13
Last Update Date
2008-05-12
Business Address
DR. KELLY JOHN CORBRIDGE O.D.
2187 AIRWAY AVE.
KINGMAN, AZ 86409-3669
Phone number: 928-757-5005
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Mailing Address
DR. KELLY JOHN CORBRIDGE O.D.
2187 AIRWAY AVE.
KINGMAN, AZ 86409-3669
Phone number: 928-757-5005
Copy
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