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1972832764
EVERETTE J CORMIER
LAFAYETTE, LA
NPI
1972832764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: LA 4163)
Enumeration Date
2009-12-08
Last Update Date
2009-12-08
Business Address
-- EVERETTE J CORMIER LMT
1103 KALISTE SALOOM RD SUITE 304
LAFAYETTE, LA 70508-5783
Phone number: 337-988-5646
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Mailing Address
-- EVERETTE J CORMIER LMT
409 NORMANDY RD
LAFAYETTE, LA 70503-4373
Phone number: 337-224-1474
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