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1265518344
MICAH BRADLEY HARRISS
LAFAYETTE, LA
NPI
1265518344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 004463)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
Mr. MICAH BRADLEY HARRISS P.T.
3527 AMBASSADOR CAFFERY PKWY BOX 13
LAFAYETTE, LA 70503-5130
Phone number: 337-857-6178
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Mailing Address
Mr. MICAH BRADLEY HARRISS P.T.
512 SABBATH RD
YOUNGSVILLE, LA 70592-5953
Phone number: 337-856-9625
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