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1700221819
REBECCA PRINCE MAGGIO
SHREVEPORT, LA
NPI
1700221819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.200610)
Enumeration Date
2013-05-02
Last Update Date
2013-05-02
Business Address
Mrs. REBECCA PRINCE MAGGIO LOTR
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-798-5918
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Mailing Address
Mrs. REBECCA PRINCE MAGGIO LOTR
4719 BRUCE ST
BOSSIER CITY, LA 71111-2607
Phone number: 318-372-7035
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