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1790754984
ELLEN DEVALCOURT
LAFAYETTE, LA
NPI
1790754984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 05177)
Enumeration Date
2006-03-17
Last Update Date
2007-07-08
Business Address
-- ELLEN DEVALCOURT PT
2115 DULLES DR
LAFAYETTE, LA 70506-2652
Phone number: 337-981-9182
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Mailing Address
-- ELLEN DEVALCOURT PT
2115 DULLES DR
LAFAYETTE, LA 70506-2652
Phone number: 337-981-9182
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