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1588957252
LACONYA RENE BASNIGHT
ZACHARY, LA
NPI
1588957252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA Z11819)
Enumeration Date
2011-05-27
Last Update Date
2011-05-27
Business Address
Mrs. LACONYA RENE BASNIGHT LOTR
8254 ORMAND DR
ZACHARY, LA 70791-7129
Phone number: 225-654-2584
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Mailing Address
Mrs. LACONYA RENE BASNIGHT LOTR
8254 ORMAND DR
ZACHARY, LA 70791-7129
Phone number: 225-654-2584
Copy
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