MRS. Kelly Mazur

NPI #1982950234 in Birdsboro, Pennsylvania

Provider Information

NPI Number: 1982950234
Entity Type: Individual
Name: MRS. Kelly Mazur
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jul 24, 2012
Last Updated: Jul 24, 2012

Practice Location

Address: 481 PATHFINDER DR
City: Birdsboro
State: Pennsylvania
ZIP Code: 19508-9492
Phone: (484) 529-2238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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