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1861720765
RACHEL DENISE DECULUS
LAKE CHARLES, LA
NPI
1861720765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: LA #LA4786-02)
Enumeration Date
2009-12-03
Last Update Date
2009-12-03
Business Address
Ms. RACHEL DENISE DECULUS LMT
513 ALAMO ST
LAKE CHARLES, LA 70601-8532
Phone number: 337-494-6298
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Mailing Address
Ms. RACHEL DENISE DECULUS LMT
1218 VARNEY CIR APT B
LAKE CHARLES, LA 70615-3868
Phone number: 337-802-6375
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