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1053683714
JESSICA LANE RIDDLE
LAFAYETTE, LA
NPI
1053683714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.200520)
Enumeration Date
2012-01-27
Last Update Date
2012-01-27
Business Address
-- JESSICA LANE RIDDLE
108 ENERGY PKWY
LAFAYETTE, LA 70508-3818
Phone number: 337-504-4244
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Mailing Address
-- JESSICA LANE RIDDLE
108 ENERGY PKWY
LAFAYETTE, LA 70508-3818
Phone number: 337-504-4244
Copy
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