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1245736453
KELLY HAVARD
LAKE CHARLES, LA
NPI
1245736453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: LA 219543)
Enumeration Date
2018-04-05
Last Update Date
2021-07-27
Business Address
KELLY HAVARD RN
3236 KIRKMAN ST
LAKE CHARLES, LA 70601-8640
Phone number: 337-478-6020
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Mailing Address
KELLY HAVARD RN
10876 HIGHWAY 109
STARKS, LA 70661-5002
Phone number: 337-222-0092
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