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1699012633
BLAKE MATTHEW CARRIERE
LAFAYETTE, LA
NPI
1699012633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 08336)
Enumeration Date
2013-01-10
Last Update Date
2013-01-10
Business Address
-- BLAKE MATTHEW CARRIERE DPT
816 HARDING ST
LAFAYETTE, LA 70503-2320
Phone number: 337-232-3111
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Mailing Address
-- BLAKE MATTHEW CARRIERE DPT
PO BOX 52396
LAFAYETTE, LA 70505-2396
Phone number: 337-232-3111
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