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1619353406
STACIE NWABUEZE
JACKSON, LA
NPI
1619353406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: LA LRC-790)
Enumeration Date
2015-08-04
Last Update Date
2015-08-04
Business Address
Dr. STACIE NWABUEZE PhD
3050 CHARLES DR
JACKSON, LA 70748-6135
Phone number: 225-634-3517
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Mailing Address
Dr. STACIE NWABUEZE PhD
3050 CHARLES DR
JACKSON, LA 70748-6135
Phone number: 225-634-3517
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