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1972211308
KELLY LAINE
LAPEER, MI
NPI
1972211308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
KELLY LAINE
1100 W NEWARK RD
LAPEER, MI 48446-9449
Phone number: 810-358-0373
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Mailing Address
KELLY LAINE
1100 W NEWARK RD
LAPEER, MI 48446-9449
Phone number: 810-358-0373
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