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1912485111
KELLY THIBODEAUX
LAFAYETTE, LA
NPI
1912485111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
KELLY THIBODEAUX
120 HUGGINS RD
LAFAYETTE, LA 70506-5802
Phone number: 337-412-6362
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Mailing Address
KELLY THIBODEAUX
5253 DIJON DR STE E
BATON ROUGE, LA 70808-4393
Phone number: 225-239-7830
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