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1376509265
MIRIAM JACKSON
THIBODAUX, LA
NPI
1376509265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA PT05216)
Enumeration Date
2006-04-21
Last Update Date
2007-07-08
Business Address
-- MIRIAM JACKSON
206 E 3RD ST
THIBODAUX, LA 70301-3312
Phone number: 985-448-5888
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Mailing Address
-- MIRIAM JACKSON
206 E 3RD ST
THIBODAUX, LA 70301-3312
Phone number: 985-448-5888
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