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1104151927
RYAN ANTHONY BOUTERIE
LAFAYETTE, LA
NPI
1104151927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07724)
Enumeration Date
2009-10-13
Last Update Date
2009-10-13
Business Address
Mr. RYAN ANTHONY BOUTERIE DPT
709 KALISTE SALOOM RD
LAFAYETTE, LA 70508-4207
Phone number: 337-234-7018
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Mailing Address
Mr. RYAN ANTHONY BOUTERIE DPT
709 KALISTE SALOOM RD
LAFAYETTE, LA 70508-4207
Phone number: 337-234-7018
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