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1659768422
KELLY LACOUR
DALLAS, TX
NPI
1659768422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 109980)
Enumeration Date
2015-04-20
Last Update Date
2019-07-15
Business Address
KELLY LACOUR OT
2222 WELBORN ST
DALLAS, TX 75219-3924
Phone number: 214-559-7790
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Mailing Address
KELLY LACOUR OT
PO BOX 2603 HTN, CLIENT ACCOUNTING
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300
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