KELLY PATRICIA LEUCK

BOSSIER CITY, LA
NPI1881188530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
Additional Taxonomies251K00000X Public Health or Welfare
Enumeration Date2018-06-17
Last Update Date2018-06-17
Business Address
KELLY PATRICIA LEUCK
1042 CRESSMONT ST
BOSSIER CITY, LA 71111-5759
Phone number: 831-246-2088
Mailing Address
KELLY PATRICIA LEUCK
1042 CRESSMONT ST
BOSSIER CITY, LA 71111-5759
Phone number: 831-246-2088
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