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1922581339
KALEA GADDIE
SHREVEPORT, LA
NPI
1922581339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 310473)
Enumeration Date
2018-09-11
Last Update Date
2022-10-21
Business Address
Mrs. KALEA GADDIE PA-C
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-5629
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Mailing Address
Mrs. KALEA GADDIE PA-C
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-5629
Copy
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