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1780237149
AIMEE BROUSSARD LOPEZ
LAFAYETTE, LA
NPI
1780237149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: LA 307044)
Enumeration Date
2019-07-24
Last Update Date
2019-07-24
Business Address
AIMEE BROUSSARD LOPEZ MOT, LOTR
108 ENERGY PKWY
LAFAYETTE, LA 70508-3818
Phone number: 337-504-4244
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Mailing Address
AIMEE BROUSSARD LOPEZ MOT, LOTR
103 BAKER ST
BROUSSARD, LA 70518-5417
Phone number: 337-258-5883
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