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1104676584
KELLI BAGLEY MIERS
SHREVEPORT, LA
NPI
1104676584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OOT.200499)
Enumeration Date
2024-03-26
Last Update Date
2024-03-26
Business Address
KELLI BAGLEY MIERS OT
8961 YOUREE DR
SHREVEPORT, LA 71115-3001
Phone number: 318-671-8772
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Mailing Address
KELLI BAGLEY MIERS OT
361 LINWOOD AVE
STONEWALL, LA 71078-9170
Phone number: 318-218-1772
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