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1598390742
SOPHIA JEAN KELLY
LAKE CHARLES, LA
NPI
1598390742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-03-09
Last Update Date
2020-03-09
Business Address
SOPHIA JEAN KELLY
700 PUJO ST STE A
LAKE CHARLES, LA 70601-4378
Phone number: 337-436-6662
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Mailing Address
SOPHIA JEAN KELLY
700 PUJO ST STE A
LAKE CHARLES, LA 70601-4378
Phone number: 337-436-6662
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