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1780972281
LACEY I GODBOLD
TERRYTOWN, LA
NPI
1780972281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07633)
Enumeration Date
2011-07-18
Last Update Date
2015-02-06
Business Address
-- LACEY I GODBOLD DPT
2600 BELLE CHASSE HWY SUITE I
TERRYTOWN, LA 70056-7156
Phone number: 504-391-7670
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Mailing Address
-- LACEY I GODBOLD DPT
2600 BELLE CHASSE HWY SUITE 208
TERRYTOWN, LA 70056-7156
Phone number: 504-433-8744
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