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1881907624
KATHARINE MELDRUM KNICELY
SHREVEPORT, LA
NPI
1881907624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA OTT.200401)
Enumeration Date
2010-07-21
Last Update Date
2023-11-10
Business Address
KATHARINE MELDRUM KNICELY OTR
416 BRAEMAR RD
SHREVEPORT, LA 71106-8534
Phone number: 318-393-3360
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Mailing Address
KATHARINE MELDRUM KNICELY OTR
PO BOX 6357
SHREVEPORT, LA 71136-6357
Phone number:
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