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1467113027
KELLIE MATTINGLY SMITH
MARRERO, LA
NPI
1467113027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 223687)
Enumeration Date
2022-01-05
Last Update Date
2022-07-29
Business Address
KELLIE MATTINGLY SMITH
5001 WESTBANK EXPY STE 100
MARRERO, LA 70072-2954
Phone number: 504-349-8833
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Mailing Address
KELLIE MATTINGLY SMITH
3212 RUE MARCELLE ST.
MERAUX, LA 70075
Phone number: 504-259-6120
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