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1568698637
GRADY PATRICK GUIDRY
MORGAN CITY, LA
NPI
1568698637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A4580)
Enumeration Date
2009-06-03
Last Update Date
2009-06-03
Business Address
-- GRADY PATRICK GUIDRY PTA
1125 MARGUERITE ST
MORGAN CITY, LA 70380-1855
Phone number: 985-380-4465
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Mailing Address
-- GRADY PATRICK GUIDRY PTA
200 W BRENTWOOD BLVD UNIT 2
LAFAYETTE, LA 70506-6193
Phone number: 337-519-4555
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