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1134427966
SUSAN M CARLOSS
LAFAYETTE, LA
NPI
1134427966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.Z11263)
Enumeration Date
2011-03-02
Last Update Date
2011-03-02
Business Address
Ms. SUSAN M CARLOSS LOTR
1130 COOLIDGE BLVD
LAFAYETTE, LA 70503-2619
Phone number: 337-261-9188
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Mailing Address
Ms. SUSAN M CARLOSS LOTR
103 PONDEROSA DR
LAFAYETTE, LA 70508-7989
Phone number: 337-962-4814
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