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1063885457
NICOLE CARROLL WOLFE
LAFAYETTE, LA
NPI
1063885457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: LA OTT200017)
Enumeration Date
2015-11-06
Last Update Date
2015-11-06
Business Address
-- NICOLE CARROLL WOLFE OT
206 E PECK BLVD
LAFAYETTE, LA 70508-7474
Phone number: 337-780-4173
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Mailing Address
-- NICOLE CARROLL WOLFE OT
206 E PECK BLVD
LAFAYETTE, LA 70508-7474
Phone number: 337-780-4173
Copy
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