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1508069899
MIRANDA LYNETTE TINGLE
RUSTON, LA
NPI
1508069899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA Z11184)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
Ms. MIRANDA LYNETTE TINGLE LOTR
903 ROSALIE DR
RUSTON, LA 71270-2732
Phone number: 318-245-0719
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Mailing Address
Ms. MIRANDA LYNETTE TINGLE LOTR
903 ROSALIE DR
RUSTON, LA 71270-2732
Phone number: 318-245-0719
Copy
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