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1699222190
KASI LIVELY
SHREVEPORT, LA
NPI
1699222190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-09-01
Last Update Date
2021-07-07
Business Address
KASI LIVELY
2751 ALBERT L BICKNELL DR STE 3D
SHREVEPORT, LA 71103-3941
Phone number: 318-212-6710
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Mailing Address
KASI LIVELY
2751 ALBERT L BICKNELL DR STE 3D
SHREVEPORT, LA 71103-3941
Phone number:
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