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1922447028
KASEY SCALLAN GORA
BATON ROUGE, LA
NPI
1922447028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA.200623)
Enumeration Date
2013-06-21
Last Update Date
2016-07-20
Business Address
-- KASEY SCALLAN GORA PA
5000 HENNESSY BLVD
BATON ROUGE, LA 70808-4375
Phone number: 225-926-8686
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Mailing Address
-- KASEY SCALLAN GORA PA
LOCK BOX DEPT AT 952639
ATLANTA, GA 31192-2639
Phone number: 800-684-0857
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