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1760878797
KELLEY DOEHRTY
SHREVEPORT, LA
NPI
1760878797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: LA Z20635)
Enumeration Date
2015-04-07
Last Update Date
2015-04-07
Business Address
-- KELLEY DOEHRTY LCOTA
530 STRATMORE DR
SHREVEPORT, LA 71115-3020
Phone number: 318-798-3510
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Mailing Address
-- KELLEY DOEHRTY LCOTA
530 STRATMORE DR
SHREVEPORT, LA 71115-3020
Phone number: 318-798-3510
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