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1578690053
MICHAEL V MOSS
LAKE CHARLES, LA
NPI
1578690053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 00591)
Enumeration Date
2007-02-28
Last Update Date
2010-09-28
Business Address
MICHAEL V MOSS PT
2100 OAK PARK BLVD
LAKE CHARLES, LA 70601-7864
Phone number: 337-310-5116
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Mailing Address
MICHAEL V MOSS PT
2100 OAK PARK BLVD
LAKE CHARLES, LA 70601-7864
Phone number: 337-310-5116
Copy
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