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1518604792
KALIE TATE
LAKE CHARLES, LA
NPI
1518604792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 330914)
Enumeration Date
2022-05-18
Last Update Date
2023-06-27
Business Address
KALIE TATE OTR
1714 WOLF CIR
LAKE CHARLES, LA 70605-2353
Phone number: 337-508-2505
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Mailing Address
KALIE TATE OTR
1714 WOLF CIR
LAKE CHARLES, LA 70605-2353
Phone number: 337-508-2505
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