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1669763249
LYNNE LANDRY BOURGEOIS
THIBODAUX, LA
NPI
1669763249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 1241)
Enumeration Date
2011-04-29
Last Update Date
2011-04-29
Business Address
Mrs. LYNNE LANDRY BOURGEOIS M.C.D., CCC-SLP
402 DESTRAHAN DR
THIBODAUX, LA 70301-2951
Phone number: 985-447-5119
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Mailing Address
Mrs. LYNNE LANDRY BOURGEOIS M.C.D., CCC-SLP
402 DESTRAHAN DR
THIBODAUX, LA 70301-2951
Phone number: 985-447-5119
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