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1609519339
KELSEY ELISE LACOURREGE
SYRACUSE, NY
NPI
1609519339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-20
Last Update Date
2022-04-20
Business Address
KELSEY ELISE LACOURREGE
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-4678
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Mailing Address
KELSEY ELISE LACOURREGE
139 STRATFORD DR
SLIDELL, LA 70458-1745
Phone number:
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