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1134904105
KIMONI ELLZEY
BATON ROUGE, LA
NPI
1134904105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
KIMONI ELLZEY
5850 FLORIDA BLVD
BATON ROUGE, LA 70806-4247
Phone number: 225-935-9923
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Mailing Address
KIMONI ELLZEY
5850 FLORIDA BLVD
BATON ROUGE, LA 70806-4247
Phone number: 225-935-9923
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