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1225259898
MICHELLE A PAVICH
EUNICE, LA
NPI
1225259898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA PT00594)
Additional Taxonomies
225700000X Massage Therapist
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Ms. MICHELLE A PAVICH RPT
430 S 12TH ST
EUNICE, LA 70535
Phone number: 225-939-0228
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Mailing Address
Ms. MICHELLE A PAVICH RPT
430 S 12TH ST
EUNICE, LA 70535
Phone number: 225-939-0228
Copy
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