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1205057049
GUSTAVIA C DAVIS
NEW IBERIA, LA
NPI
1205057049
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Former Name
GUSTAVIA C DAVIS-LYONS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA OTA.Z20612)
Enumeration Date
2007-05-01
Last Update Date
2013-02-13
Business Address
Ms. GUSTAVIA C DAVIS LCOTA
1306 W ADMIRAL DOYLE DR
NEW IBERIA, LA 70560-8552
Phone number: 337-364-5472
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Mailing Address
Ms. GUSTAVIA C DAVIS LCOTA
8551 OLIVER AVE
BATON ROUGE, LA 70809-1730
Phone number: 225-716-2880
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