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1992768428
KELLI A WIMBERLY
LAKE CHARLES, LA
NPI
1992768428
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Former Name
KELLI J ABBOUD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 1717)
Enumeration Date
2006-04-07
Last Update Date
2007-07-08
Business Address
-- KELLI A WIMBERLY RD
524 S RYAN ST
LAKE CHARLES, LA 70601-5725
Phone number: 337-430-5448
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Mailing Address
-- KELLI A WIMBERLY RD
1701 21ST ST
LAKE CHARLES, LA 70601-8941
Phone number: 337-479-6056
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