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1407082233
AMY R ALFONSO
MANDEVILLE, LA
NPI
1407082233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT Z12081)
Enumeration Date
2009-06-08
Last Update Date
2009-06-08
Business Address
Mrs. AMY R ALFONSO LOTR
665 PLANTATION BLVD
MANDEVILLE, LA 70448-7500
Phone number: 985-624-4934
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Mailing Address
Mrs. AMY R ALFONSO LOTR
665 PLANTATION BLVD
MANDEVILLE, LA 70448-7500
Phone number: 985-624-4934
Copy
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