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1073623955
STACY THOMPSON CORDER
BATON ROUGE, LA
NPI
1073623955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: LA Z12207)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
STACY THOMPSON CORDER MHS-LOTR
18268 PETROLEUM DR
BATON ROUGE, LA 70809-6126
Phone number: 225-292-4138
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Mailing Address
STACY THOMPSON CORDER MHS-LOTR
18268 PETROLEUM DR
BATON ROUGE, LA 70809-6126
Phone number:
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