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1982168282
KELLY R SMITH
EASLEY, SC
NPI
1982168282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 413)
Enumeration Date
2019-01-31
Last Update Date
2019-01-31
Business Address
KELLY R SMITH PTA
205 BUD NALLEY DR
EASLEY, SC 29642-3578
Phone number: 864-430-0895
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Mailing Address
KELLY R SMITH PTA
205 BUD NALLEY DR
EASLEY, SC 29642
Phone number:
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