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1134501927
MARY BETH CHURBOCK
LAFAYETTE, LA
NPI
1134501927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 00325)
Enumeration Date
2015-06-29
Last Update Date
2015-06-29
Business Address
-- MARY BETH CHURBOCK PT
308 SIDNEY MARTIN RD ROOM 174
LAFAYETTE, LA 70507-4544
Phone number: 337-233-3665
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Mailing Address
-- MARY BETH CHURBOCK PT
2002 JOHNSON ST SUITE 100
JENNINGS, LA 70546-3640
Phone number: 337-824-4547
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