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Individual

MRS. SHARON M KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
11 BATCHELDER RD, SEABROOK, NH 03874-4402
(603) 474-9872
Mailing address
42 LEDGE RD, SEABROOK, NH 03874-4314
(603) 760-2098

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160100632852336
PTCB
Enumeration date
01/01/2007
Last updated
07/08/2007
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