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1619447968
KIMBERLY JANE CRADDOCK
NEW ORLEANS, LA
NPI
1619447968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 310417)
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
KIMBERLY JANE CRADDOCK PA-C
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121-2429
Phone number: 504-842-0368
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Mailing Address
KIMBERLY JANE CRADDOCK PA-C
71464 HAYNES AVE
ABITA SPRINGS, LA 70420-3422
Phone number: 985-373-6970
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