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1023883741
LESLIE GUILLORY MOORE
BROUSSARD, LA
NPI
1023883741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.200680)
Enumeration Date
2023-11-22
Last Update Date
2023-11-22
Business Address
Mrs. LESLIE GUILLORY MOORE OT
201 WOODLAND DR
BROUSSARD, LA 70518-3442
Phone number: 337-234-7018
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Mailing Address
Mrs. LESLIE GUILLORY MOORE OT
201 WOODLAND DR
BROUSSARD, LA 70518-3442
Phone number: 337-234-7018
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