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1942904933
MIA MANZANARES BAEZA
OPELOUSAS, LA
NPI
1942904933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 11457)
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
MIA MANZANARES BAEZA PT
4027 I 49 S SERVICE RD
OPELOUSAS, LA 70570-0757
Phone number: 337-948-4212
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Mailing Address
MIA MANZANARES BAEZA PT
1326 CHURCH ST
ZACHARY, LA 70791-2743
Phone number: 225-654-8208
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