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1285694273
MELIVA SUICO
BATON ROUGE, LA
NPI
1285694273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 01081F)
Enumeration Date
2006-03-24
Last Update Date
2008-07-16
Business Address
-- MELIVA SUICO Physical Therapist
11281 OLD HAMMOND HWY BUILDING A
BATON ROUGE, LA 70816-8404
Phone number: 225-275-3177
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Mailing Address
-- MELIVA SUICO Physical Therapist
841 TROUTBECK DR
BATON ROUGE, LA 70810-1993
Phone number: 225-275-3177
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