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1295843712
KIM B ANDERSON
LAKE CHARLES, LA
NPI
1295843712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: LA 05283)
Enumeration Date
2006-08-25
Last Update Date
2008-09-18
Business Address
Mrs. KIM B ANDERSON PT
1717 E PRIEN LAKE RD SUITE 1
LAKE CHARLES, LA 70601-0400
Phone number: 337-478-5880
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Mailing Address
Mrs. KIM B ANDERSON PT
868 TARA AVE
LAKE CHARLES, LA 70611
Phone number: 337-885-6536
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