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1912154303
BRENDA KELLAR
PRESCOTT, AZ
NPI
1912154303
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Former Name
BRENDA THOMSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ 4271)
Enumeration Date
2008-08-27
Last Update Date
2012-09-27
Business Address
-- BRENDA KELLAR OT
500 N US HIGHWAY 89
PRESCOTT, AZ 86313-5001
Phone number: 928-445-4860
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Mailing Address
-- BRENDA KELLAR OT
500 N US HIGHWAY 89
PRESCOTT, AZ 86313-5001
Phone number: 928-445-4860
Copy
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