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1477917193
KALLIE HOLT
DERIDDER, LA
NPI
1477917193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP08746)
Enumeration Date
2016-04-08
Last Update Date
2024-06-26
Business Address
KALLIE HOLT NP
200 W 5TH ST
DERIDDER, LA 70634-4856
Phone number: 337-221-1417
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Mailing Address
KALLIE HOLT NP
200 W 5TH ST
DERIDDER, LA 70634-4856
Phone number: 337-202-7850
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