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1639552979
KELLY THIBODEAUX
MARRERO, LA
NPI
1639552979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP08412)
Enumeration Date
2015-07-06
Last Update Date
2015-07-06
Business Address
-- KELLY THIBODEAUX NP
1111 MEDICAL CENTER BLVD 350S
MARRERO, LA 70072-3151
Phone number: 504-349-6350
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Mailing Address
-- KELLY THIBODEAUX NP
1111 MEDICAL CENTER BLVD 350S
MARRERO, LA 70072-3151
Phone number: 504-349-6350
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