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1942320569
RANDY GOMEZ
LAFAYETTE, LA
NPI
1942320569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 04488F)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Mr. RANDY GOMEZ PT
100 WILLIAM O STUTES ST
LAFAYETTE, LA 70506-7211
Phone number: 337-406-0712
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Mailing Address
Mr. RANDY GOMEZ PT
105 CADET LN
LAFAYETTE, LA 70506-4928
Phone number: 337-261-1658
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