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1942563895
KELLY PERQUE
THIBODAUX, LA
NPI
1942563895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: LA RN065638)
Enumeration Date
2012-06-15
Last Update Date
2012-06-15
Business Address
-- KELLY PERQUE R.N.
2535 VETERANS BLVD
THIBODAUX, LA 70301-4363
Phone number: 985-447-0921
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Mailing Address
-- KELLY PERQUE R.N.
105 SUGAR RIDGE DR
THIBODAUX, LA 70301-9405
Phone number: 985-633-2630
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