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1154947497
ALEXANDRA WIDCAMP - FEAGIN
LAKE CHARLES, LA
NPI
1154947497
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Former Name
ALEXANDRA WIDCAMP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 10618)
Enumeration Date
2020-06-23
Last Update Date
2023-07-27
Business Address
ALEXANDRA WIDCAMP - FEAGIN DPT
4141 COMMON ST
LAKE CHARLES, LA 70607-4501
Phone number: 337-990-5621
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Mailing Address
ALEXANDRA WIDCAMP - FEAGIN DPT
4141 COMMON ST
LAKE CHARLES, LA 70607-4501
Phone number: 337-990-5621
Copy
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