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1972373660
IESHA MICHELLE BRIDGEWATER
HOUMA, LA
NPI
1972373660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Z00000X Orthotist
Enumeration Date
2024-01-04
Last Update Date
2024-01-04
Business Address
IESHA MICHELLE BRIDGEWATER
1134 BARROW ST
HOUMA, LA 70360-5608
Phone number: 985-217-2006
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Mailing Address
IESHA MICHELLE BRIDGEWATER
210 EVELYN AVE
HOUMA, LA 70363-5434
Phone number: 985-217-2006
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