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1760993547
SARAH WAGUESPACK PEMBERTON
COVINGTON, LA
NPI
1760993547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 09467)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2017-10-19
Last Update Date
2022-10-05
Business Address
SARAH WAGUESPACK PEMBERTON DPT
653 MYRTLE DR
COVINGTON, LA 70433-8225
Phone number: 985-893-4700
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Mailing Address
SARAH WAGUESPACK PEMBERTON DPT
205 HOMESTEAD DR
THIBODAUX, LA 70301-8039
Phone number: 985-665-2559
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