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1871201756
LACY NICOLE SANTANA
SLIDELL, LA
NPI
1871201756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 11111)
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
LACY NICOLE SANTANA DPT
340 BRAKEFIELD ST
SLIDELL, LA 70458-3620
Phone number: 985-265-7364
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Mailing Address
LACY NICOLE SANTANA DPT
74345 ETA AVE
COVINGTON, LA 70435-5410
Phone number: 985-502-9303
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