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1053788778
KELLY TALLEY SEAL
BOGALUSA, LA
NPI
1053788778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 260043)
Enumeration Date
2015-08-28
Last Update Date
2015-08-28
Business Address
-- KELLY TALLEY SEAL L.P.N.
926 AVENUE I
BOGALUSA, LA 70427-4245
Phone number: 985-516-0913
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Mailing Address
-- KELLY TALLEY SEAL L.P.N.
926 AVENUE I
BOGALUSA, LA 70427-4245
Phone number: 985-516-0913
Copy
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