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1467210492
MICHAEL SHANE MELANCON
ZACHARY, LA
NPI
1467210492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 340669)
Enumeration Date
2024-03-13
Last Update Date
2024-03-13
Business Address
MICHAEL SHANE MELANCON
4920 CHURCH STREET SUITE E
ZACHARY, LA 70791
Phone number: 225-570-2443
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Mailing Address
MICHAEL SHANE MELANCON
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810-7827
Phone number: 225-408-7995
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