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1912249541
KELSI MCBROOM
COLUMBIA, LA
NPI
1912249541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA OTA.200349)
Enumeration Date
2013-03-21
Last Update Date
2013-03-21
Business Address
-- KELSI MCBROOM
7726 HIGHWAY 165
COLUMBIA, LA 71418-3322
Phone number: 318-649-9826
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Mailing Address
-- KELSI MCBROOM
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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