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1730701178
MISTY NICOLE KENNEDY
MONROE, LA
NPI
1730701178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 307751)
Enumeration Date
2020-05-07
Last Update Date
2020-05-07
Business Address
MISTY NICOLE KENNEDY
442 E FRENCHMANS BEND RD
MONROE, LA 71203-8852
Phone number: 318-503-9789
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Mailing Address
MISTY NICOLE KENNEDY
2712 CROW FARM RD
MARION, LA 71260-4129
Phone number: 318-805-6702
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