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1225469513
ASHLEY MICHELE TANKERSLEY FAIRCLOTH
MANDEVILLE, LA
NPI
1225469513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 08611)
Enumeration Date
2013-12-11
Last Update Date
2013-12-11
Business Address
Dr. ASHLEY MICHELE TANKERSLEY FAIRCLOTH D.P.T.
1796 W CAUSEWAY APPROACH
MANDEVILLE, LA 70471-2955
Phone number: 985-626-1671
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Mailing Address
Dr. ASHLEY MICHELE TANKERSLEY FAIRCLOTH D.P.T.
318 NOTTOWAY DR
PEARL RIVER, LA 70452-3804
Phone number:
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