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1922588292
CHARLES KELLY
ROUND ROCK, TX
NPI
1922588292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2139360)
Enumeration Date
2018-08-16
Last Update Date
2018-08-18
Business Address
CHARLES KELLY
401 OAKWOOD BLVD
ROUND ROCK, TX 78681
Phone number: 512-388-7494
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Mailing Address
CHARLES KELLY
401 OAKWOOD BLVD
ROUND ROCK, TX 78681-4067
Phone number:
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