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1891385787
KELLEN GLYN HODGE
FORT POLK, LA
NPI
1891385787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: LA RN115467)
Enumeration Date
2021-01-25
Last Update Date
2021-01-25
Business Address
Mr. KELLEN GLYN HODGE RN, CCM
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-3068
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Mailing Address
Mr. KELLEN GLYN HODGE RN, CCM
215 JETT RD
HORNBECK, LA 71439-1423
Phone number: 337-322-9878
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