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1194195990
KIMBERLY KELLER
JEFFERSON, LA
NPI
1194195990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.200225)
Enumeration Date
2015-10-06
Last Update Date
2015-10-06
Business Address
-- KIMBERLY KELLER ATC
1221 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1011
Phone number: 504-736-4800
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Mailing Address
-- KIMBERLY KELLER ATC
3701 NICOLE ST
PAULINA, LA 70763-2261
Phone number: 225-252-0007
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