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1497817258
CRAIG L KINGREA
SLIDELL, LA
NPI
1497817258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07084)
Enumeration Date
2006-12-15
Last Update Date
2008-03-12
Business Address
-- CRAIG L KINGREA PT
1311 GAUSE BLVD
SLIDELL, LA 70458-3015
Phone number: 985-649-6577
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Mailing Address
-- CRAIG L KINGREA PT
266 DEVAL DR
MANDEVILLE, LA 70471-1902
Phone number: 985-778-3177
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