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1053438150
KIMALA WINGER BOLDEN
LAFAYETTE, LA
NPI
1053438150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 3248)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Mrs. KIMALA WINGER BOLDEN MACCC-SLP
232 IVORY STREET
LAFAYETTE, LA 70506
Phone number: 504-554-0765
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Mailing Address
Mrs. KIMALA WINGER BOLDEN MACCC-SLP
232 IVORY STREET
LAFAYETTE, LA 70506
Phone number: 337-504-2498
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