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1265730691
BRODY JAYMES BOURGEOIS
HOUMA, LA
NPI
1265730691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A7939)
Enumeration Date
2011-03-09
Last Update Date
2011-03-09
Business Address
-- BRODY JAYMES BOURGEOIS
1978 INDUSTRIAL BLVD
HOUMA, LA 70363-7055
Phone number: 985-850-2354
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Mailing Address
-- BRODY JAYMES BOURGEOIS
1978 INDUSTRIAL BLVD
HOUMA, LA 70363-7055
Phone number: 985-850-2354
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