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1578966735
COURTNEY KELLY
LAKE CHARLES, LA
NPI
1578966735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 128612)
Enumeration Date
2014-10-02
Last Update Date
2014-10-02
Business Address
-- COURTNEY KELLY
4150 NELSON RD STE A4
LAKE CHARLES, LA 70605-4169
Phone number: 337-474-6353
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Mailing Address
-- COURTNEY KELLY
4150 NELSON RD STE A4
LAKE CHARLES, LA 70605-4169
Phone number:
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