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1295335693
RONALD DEWEY STAILEY
PRAIRIEVILLE, LA
NPI
1295335693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA A10660)
Enumeration Date
2020-10-27
Last Update Date
2020-10-27
Business Address
RONALD DEWEY STAILEY PTA
17094 AIRLINE HWY
PRAIRIEVILLE, LA 70769-3400
Phone number: 225-677-8400
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Mailing Address
RONALD DEWEY STAILEY PTA
17094 AIRLINE HWY
PRAIRIEVILLE, LA 70769-3400
Phone number: 225-677-8400
Copy
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