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1558705673
KELLY GAUTHIER
COLUMBIA, LA
NPI
1558705673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A8147)
Enumeration Date
2013-04-19
Last Update Date
2013-04-19
Business Address
KELLY GAUTHIER
7726 HIGHWAY 165
COLUMBIA, LA 71418-3322
Phone number: 318-649-9827
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Mailing Address
KELLY GAUTHIER
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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