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1215322946
BLAKELEE ANN MOORE
LAKE CHARLES, LA
NPI
1215322946
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Former Name
BLAKELEE ANN SOILEAU
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 08305)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
MRS. BLAKELEE ANN MOORE
4150 NELSON RD SUITE C12
LAKE CHARLES, LA 70605-4148
Phone number: 337-990-5621
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Mailing Address
MRS. BLAKELEE ANN MOORE
4150 NELSON RD SUITE C12
LAKE CHARLES, LA 70605-4148
Phone number: 337-990-5621
Copy
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