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1083963011
LISA M HARRELL
MANDEVILLE, LA
NPI
1083963011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.200550)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
Mrs. LISA M HARRELL M.O.T.
2473 BLUFF CT
MANDEVILLE, LA 70448-8478
Phone number: 985-590-1865
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Mailing Address
Mrs. LISA M HARRELL M.O.T.
2473 BLUFF CT
MANDEVILLE, LA 70448-8478
Phone number: 985-590-1865
Copy
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