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1316434004
JESSICA REVELS
ARCADIA, LA
NPI
1316434004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA OTA.200028)
Enumeration Date
2018-04-18
Last Update Date
2018-04-18
Business Address
JESSICA REVELS
1355 6TH ST
ARCADIA, LA 71001-3109
Phone number: 318-263-9581
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Mailing Address
JESSICA REVELS
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3909
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