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1295006369
LACY DANIELLE HEDRICK
BOSSIER CITY, LA
NPI
1295006369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A7946)
Enumeration Date
2012-01-21
Last Update Date
2012-01-21
Business Address
-- LACY DANIELLE HEDRICK
2575 AIRLINE DR
BOSSIER CITY, LA 71111-5812
Phone number: 318-459-7520
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Mailing Address
-- LACY DANIELLE HEDRICK
2575 AIRLINE DR
BOSSIER CITY, LA 71111-5812
Phone number: 318-272-2488
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