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1902534001
AMBER EZELL
TALLULAH, LA
NPI
1902534001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
AMBER EZELL LCOTA
1000 E BAYOU DR
TALLULAH, LA 71282-3927
Phone number: 318-341-2774
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Mailing Address
AMBER EZELL LCOTA
1000 E BAYOU DR
TALLULAH, LA 71282-3927
Phone number:
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