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1134978000
KELLY JACKSON CAIN
MONROE, LA
NPI
1134978000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA OTA.Z20652)
Enumeration Date
2024-05-14
Last Update Date
2024-05-22
Business Address
KELLY JACKSON CAIN LCOTA
1605 STUBBS AVE
MONROE, LA 71201-5629
Phone number: 318-388-8414
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Mailing Address
KELLY JACKSON CAIN LCOTA
1605 STUBBS AVE
MONROE, LA 71201-5629
Phone number: 318-388-8414
Copy
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