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1235606096
SUZANNE BONNETTE BANKSTON
BATON ROUGE, LA
NPI
1235606096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.Z11543)
Enumeration Date
2018-10-30
Last Update Date
2018-10-30
Business Address
SUZANNE BONNETTE BANKSTON
333 LEE DR
BATON ROUGE, LA 70808-4980
Phone number: 225-215-4500
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Mailing Address
SUZANNE BONNETTE BANKSTON
650 HEBERT ST
BATON ROUGE, LA 70806-5916
Phone number: 225-405-0749
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