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1114143260
NICHOLE R FUTCH
PINEVILLE, LA
NPI
1114143260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA Z11357)
Enumeration Date
2007-04-17
Last Update Date
2007-07-09
Business Address
Mrs. NICHOLE R FUTCH LOTR
19 BASS RD
PINEVILLE, LA 71360-9121
Phone number: 318-451-5857
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Mailing Address
Mrs. NICHOLE R FUTCH LOTR
19 BASS RD
PINEVILLE, LA 71360-9121
Phone number: 318-451-5857
Copy
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