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1922162486
PHYLLIS H KELLY
SPARTANBURG, SC
NPI
1922162486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: SC 198)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
Mrs. PHYLLIS H KELLY
1855 E MAIN ST
SPARTANBURG, SC 29307-2309
Phone number: 864-583-9007
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Mailing Address
Mrs. PHYLLIS H KELLY
1855 E MAIN ST
SPARTANBURG, SC 29307-2309
Phone number: 864-583-9007
Copy
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