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1275838682
PAUL ANDRE FONTANA
LAFAYETTE, LA
NPI
1275838682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA Z10427)
Enumeration Date
2011-01-14
Last Update Date
2011-01-14
Business Address
Mr. PAUL ANDRE FONTANA OTR
709 KALISTE SALOOM RD
LAFAYETTE, LA 70508-4207
Phone number: 337-234-7018
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Mailing Address
Mr. PAUL ANDRE FONTANA OTR
709 KALISTE SALOOM RD
LAFAYETTE, LA 70508-4207
Phone number: 337-234-7018
Copy
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