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1134284557
MARK P GREMILLION
JENNINGS, LA
NPI
1134284557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA Z10533)
Enumeration Date
2006-12-26
Last Update Date
2007-07-08
Business Address
Mr. MARK P GREMILLION OT
2002 JOHNSON ST STE 100
JENNINGS, LA 70546-3646
Phone number: 337-824-4547
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Mailing Address
Mr. MARK P GREMILLION OT
118 RICHLAND AVE
LAFAYETTE, LA 70508-6606
Phone number: 337-824-4547
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