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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Migrant Health |
261QM1000X |
| NPI Number | 1760811798 |
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| LBN Legal business name | SANDAL KELLY PHD | ||||
| Authorized official | SANDAL KELLY - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/12/2013 | ||||
| Last updated | 11/12/2013 - About 13 years ago | ||||
| Identifiers |
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SANDAL KELLY PHD
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SANDAL KELLY PHD