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1356564785
KELLY BARACCO
OPELOUSAS, LA
NPI
1356564785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 06392)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Prof. KELLY BARACCO PT
4027 I 49 S SERVICE RD
OPELOUSAS, LA 70570-0757
Phone number: 337-948-4212
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Mailing Address
Prof. KELLY BARACCO PT
420 W PINHOOK RD SUITE A
LAFAYETTE, LA 70503-2131
Phone number: 337-233-1307
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