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1972061893
KASEY JO CARPENTER
SHREVEPORT, LA
NPI
1972061893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: LA 300693)
Enumeration Date
2019-03-10
Last Update Date
2019-03-10
Business Address
Mrs. KASEY JO CARPENTER LOTR
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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Mailing Address
Mrs. KASEY JO CARPENTER LOTR
613 SIMPSON ST
BENTON, LA 71006-8314
Phone number: 618-599-2295
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