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1215223763
KELLY CHRISTINE BOAL
BATON ROUGE, LA
NPI
1215223763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 200456)
Enumeration Date
2011-06-23
Last Update Date
2011-11-08
Business Address
-- KELLY CHRISTINE BOAL PA
7777 HENNESSY BLVD SUITE 211
BATON ROUGE, LA 70808-4300
Phone number: 225-765-7163
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Mailing Address
-- KELLY CHRISTINE BOAL PA
DEPT AT952639
ATLANTA, GA 31192-2639
Phone number: 877-485-4474
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