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1790280964
MARISSA DANIELLE SLAUGHTER
BOSSIER CITY, LA
NPI
1790280964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA 308139)
Enumeration Date
2018-03-28
Last Update Date
2018-03-28
Business Address
Miss MARISSA DANIELLE SLAUGHTER COTA
4405 AIRLINE DR
BOSSIER CITY, LA 71111-2058
Phone number: 318-747-5440
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Mailing Address
Miss MARISSA DANIELLE SLAUGHTER COTA
9525 STEVENS RD
SHREVEPORT, LA 71106-7530
Phone number: 318-729-3911
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