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1700355831
MIRANDA MCGOFFIN
LAFAYETTE, LA
NPI
1700355831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: LA 07317)
Enumeration Date
2018-11-19
Last Update Date
2018-11-19
Business Address
MIRANDA MCGOFFIN PT
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6700
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Mailing Address
MIRANDA MCGOFFIN PT
3113 RICELAND RD
RAYNE, LA 70578-2717
Phone number: 337-257-3085
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