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Individual

KELLY S EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
108 OAKWAY DR, MOUNT VERNON, OH 43050-1023
(740) 507-4639
Mailing address
108 OAKWAY DR, MOUNT VERNON, OH 43050-1023
(740) 507-4639

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RN922245
OH

Other

Enumeration date
11/18/2020
Last updated
11/18/2020
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