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1033690995
ELLEN MOOSA
LAFAYETTE, LA
NPI
1033690995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 310571)
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
Miss ELLEN MOOSA LOTR
108 ENERGY PKWY
LAFAYETTE, LA 70508-3818
Phone number: 337-504-4244
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Mailing Address
Miss ELLEN MOOSA LOTR
108 ENERGY PKWY
LAFAYETTE, LA 70508-3818
Phone number: 337-504-4244
Copy
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