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1427645241
KERRY OTIS
THIBODAUX, LA
NPI
1427645241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 270482)
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
KERRY OTIS LPN
303 HICKORY ST
THIBODAUX, LA 70301-2011
Phone number: 985-446-2936
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Mailing Address
KERRY OTIS LPN
303 HICKORY ST
THIBODAUX, LA 70301-2011
Phone number: 985-446-2936
Copy
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