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1942290523
CARL A KELLY
SHREVEPORT, LA
NPI
1942290523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
152W00000X Optometrist
(Licence: LA 1343-477T)
Enumeration Date
2005-10-25
Last Update Date
2007-07-08
Business Address
CARL A KELLY O.D.
2611 GREENWOOD RD
SHREVEPORT, LA 71103-3907
Phone number: 318-631-2020
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Mailing Address
CARL A KELLY O.D.
2611 GREENWOOD RD
SHREVEPORT, LA 71103-3907
Phone number: 318-631-2020
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