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1669065231
WILLIE CLARENCE HARRIS
SLIDELL, LA
NPI
1669065231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.200561)
Enumeration Date
2021-02-15
Last Update Date
2021-02-15
Business Address
Mr. WILLIE CLARENCE HARRIS LOTR
625 BELLINGRATH LN
SLIDELL, LA 70458-2262
Phone number: 504-931-8067
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Mailing Address
Mr. WILLIE CLARENCE HARRIS LOTR
625 BELLINGRATH LN
SLIDELL, LA 70458-2262
Phone number: 504-931-8067
Copy
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