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1952724395
KELLY WALLIS
FORT MYERS, FL
NPI
1952724395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL CH10990)
Enumeration Date
2014-01-21
Last Update Date
2014-01-21
Business Address
Dr. KELLY WALLIS D.C.
6309 CORPORATE CT STE. 110
FORT MYERS, FL 33919-3538
Phone number: 239-433-1011
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Mailing Address
Dr. KELLY WALLIS D.C.
6309 CORPORATE CT STE. 110
FORT MYERS, FL 33919-3538
Phone number: 239-433-1011
Copy
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