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1194198267
DUSTIN ROUSSEL
METAIRIE, LA
NPI
1194198267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: LA 09062R)
Enumeration Date
2015-11-11
Last Update Date
2015-11-11
Business Address
-- DUSTIN ROUSSEL
3939 HOUMA BLVD STE 17
METAIRIE, LA 70006-2931
Phone number: 504-885-9121
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Mailing Address
-- DUSTIN ROUSSEL
1325 3RD ST
LUTCHER, LA 70071-5517
Phone number:
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