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1942546544
CHARISSE WAKELAND
NEW ORLEANS, LA
NPI
1942546544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.Z11301)
Enumeration Date
2012-12-31
Last Update Date
2012-12-31
Business Address
-- CHARISSE WAKELAND LOTR
4721 PALMYRA ST
NEW ORLEANS, LA 70119-5825
Phone number: 504-621-9581
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Mailing Address
-- CHARISSE WAKELAND LOTR
4721 PALMYRA ST
NEW ORLEANS, LA 70119-5825
Phone number: 504-621-9581
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