KELLIE D CORMAN

LAKE CHARLES, LA
NPI1114077476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: LA  LA0232-01)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
-- KELLIE D CORMAN LMT
5843 ELLIOTT RD
LAKE CHARLES, LA 70605-0401
Phone number: 337-478-0834
Mailing Address
-- KELLIE D CORMAN LMT
5843 ELLIOTT RD
LAKE CHARLES, LA 70605-0401
Phone number: 337-478-0834
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