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1629255013
SUSAN NICOLE RICHARDSON
PINEVILLE, LA
NPI
1629255013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 005476151)
Enumeration Date
2008-01-28
Last Update Date
2008-01-28
Business Address
Mrs. SUSAN NICOLE RICHARDSON MOT
336 EDGEWOOD DR
PINEVILLE, LA 71360-5445
Phone number: 318-442-9552
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Mailing Address
Mrs. SUSAN NICOLE RICHARDSON MOT
PO BOX 11
JONESVILLE, LA 71343-0011
Phone number: 318-339-4711
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