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1578714457
MANDY M DESHOTEL
PINEVILLE, LA
NPI
1578714457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA OTA.Z20489)
Enumeration Date
2008-10-09
Last Update Date
2008-10-09
Business Address
-- MANDY M DESHOTEL COTA
100 PINECREST DR
PINEVILLE, LA 71360-4276
Phone number: 318-641-2000
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Mailing Address
-- MANDY M DESHOTEL COTA
PO BOX 5191
PINEVILLE, LA 71361-5191
Phone number: 318-641-2000
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