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1679736102
MIKA SHANE DOUCET
LAKE CHARLES, LA
NPI
1679736102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT-200151)
Enumeration Date
2008-07-03
Last Update Date
2022-07-21
Business Address
Ms. MIKA SHANE DOUCET OT
1727 IMPERIAL BLVD BLDG 3
LAKE CHARLES, LA 70605-5362
Phone number: 337-478-5880
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Mailing Address
Ms. MIKA SHANE DOUCET OT
1727 IMPERIAL BLVD BLDG 3
LAKE CHARLES, LA 70605-5362
Phone number: 337-478-5880
Copy
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