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1477193183
STACEY MARIE LEGROS
DERIDDER, LA
NPI
1477193183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA 304418)
Enumeration Date
2020-01-10
Last Update Date
2020-01-10
Business Address
STACEY MARIE LEGROS
19503 HIGHWAY 171
DERIDDER, LA 70634
Phone number: 337-202-7045
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Mailing Address
STACEY MARIE LEGROS
922 BEAU AVE
LAKE CHARLES, LA 70611-4212
Phone number: 337-532-8337
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