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1467143057
GRANT LEBLANC
LAFAYETTE, LA
NPI
1467143057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 11496)
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
GRANT LEBLANC
108 RUE LOUIS XIV
LAFAYETTE, LA 70508-5739
Phone number: 337-235-8007
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Mailing Address
GRANT LEBLANC
108 RUE LOUIS XIV
LAFAYETTE, LA 70508-5739
Phone number: 337-235-8007
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