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1730496456
CRYSTAL M MCKOIN
BASTROP, LA
NPI
1730496456
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Former Name
CRYSTAL M MCINTYRE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 5618)
Enumeration Date
2010-09-01
Last Update Date
2010-09-01
Business Address
Mrs. CRYSTAL M MCKOIN Speech
3867 BAYOU ACRES DR
BASTROP, LA 71220-9232
Phone number: 318-283-2080
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Mailing Address
Mrs. CRYSTAL M MCKOIN Speech
10578 CAMELIA AVE
BASTROP, LA 71220-2502
Phone number: 318-283-2080
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