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1063851533
GRACE VILLANUEVA
WINNSBORO, LA
NPI
1063851533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2013-06-18
Last Update Date
2013-06-18
Business Address
-- GRACE VILLANUEVA
804 POLK ST
WINNSBORO, LA 71295-2350
Phone number: 318-435-1550
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Mailing Address
-- GRACE VILLANUEVA
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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