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1013218189
AUSTEN CHASE DWIGHT
COVINGTON, LA
NPI
1013218189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07811)
Enumeration Date
2010-11-05
Last Update Date
2020-04-10
Business Address
AUSTEN CHASE DWIGHT DPT
304 E BOSTON ST
COVINGTON, LA 70433-2802
Phone number: 985-630-4489
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Mailing Address
AUSTEN CHASE DWIGHT DPT
304 E BOSTON ST
COVINGTON, LA 70433-2802
Phone number: 985-630-4489
Copy
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