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1942525928
TIMOTHY ANTON KELLY
BROOKLYN PARK, MN
NPI
1942525928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Additional Taxonomies
251E00000X Home Health
(Licence: MN 1536744)
Enumeration Date
2010-04-01
Last Update Date
2010-04-01
Business Address
Mr. TIMOTHY ANTON KELLY
7954 BROOKLYN BOULAVARD 7954
BROOKLYN PARK, MN 55445
Phone number: 952-210-2131
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Mailing Address
Mr. TIMOTHY ANTON KELLY
7954 BROOKLYN BOULAVARD 7954
BROOKLYN PARK, MN 55445
Phone number: 952-210-2131
Copy
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