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1720392228
BRANDON SCOTT LEE
MANDEVILLE, LA
NPI
1720392228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07807)
Enumeration Date
2010-07-27
Last Update Date
2010-07-27
Business Address
-- BRANDON SCOTT LEE DPT
4020 LONESOME RD
MANDEVILLE, LA 70448-7085
Phone number: 985-626-9591
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Mailing Address
-- BRANDON SCOTT LEE DPT
4020 LONESOME RD
MANDEVILLE, LA 70448-7085
Phone number: 985-626-9591
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