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1083840060
KRISTI LEE KELLOGG
SHREVEPORT, LA
NPI
1083840060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 006809-1)
Enumeration Date
2009-06-04
Last Update Date
2009-06-04
Business Address
-- KRISTI LEE KELLOGG PTA
7330 FERN AVE
SHREVEPORT, LA 71105-4971
Phone number: 866-730-0707
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Mailing Address
-- KRISTI LEE KELLOGG PTA
7330 FERN AVE
SHREVEPORT, LA 71105-4971
Phone number:
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