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Individual

CORA SHILTEL KIMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13800 OLD GENTILLY RD, NEW ORLEANS, LA 70129-2218
(504) 253-6505
(504) 253-6525
Mailing address
13800 OLD GENTILLY RD, NEW ORLEANS, LA 70129-2218
(504) 253-6505
(504) 253-6525

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LA

Other

Enumeration date
07/10/2008
Last updated
07/10/2008
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