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1902824295
JOHN KELLY
SOUTHFIELD, MI
NPI
1902824295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: MI 5101006257)
Enumeration Date
2006-07-17
Last Update Date
2007-08-20
Business Address
-- JOHN KELLY DO
24500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075-2414
Phone number: 248-353-1280
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Mailing Address
-- JOHN KELLY DO
24500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075-2414
Phone number: 248-353-1280
Copy
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