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1003174806
ALICIA RUDDOCK ROURK
LAFAYETTE, LA
NPI
1003174806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 1259)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
ALICIA RUDDOCK ROURK RD, LDN
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6113
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Mailing Address
ALICIA RUDDOCK ROURK RD, LDN
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6113
Copy
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