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1194047852
RUSSEL BIENVENU
NATCHITOCHES, LA
NPI
1194047852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.Z10858)
Enumeration Date
2010-02-23
Last Update Date
2010-02-23
Business Address
Mr. RUSSEL BIENVENU OT
101 ISADORE ST
NATCHITOCHES, LA 71457-5747
Phone number: 318-238-2810
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Mailing Address
Mr. RUSSEL BIENVENU OT
101 ISADORE ST
NATCHITOCHES, LA 71457-5747
Phone number: 318-238-2810
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