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Individual

KELSEY WALRAVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4890 BARKSDALE BLVD, BOSSIER CITY, LA 71112-4566
(318) 747-4330
Mailing address
224 WALRAVEN RD, DUBBERLY, LA 71024-2624
(318) 560-7560

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PD16248
AR
183500000X
Pharmacist
Primary
PST.024428
LA

Other

Enumeration date
08/11/2022
Last updated
08/11/2022
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