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1982086104
MAYA LADMIRAULT
MANDEVILLE, LA
NPI
1982086104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: LA 240)
Enumeration Date
2015-06-24
Last Update Date
2015-06-24
Business Address
-- MAYA LADMIRAULT
23515 HIGHWAY 190
MANDEVILLE, LA 70448-7334
Phone number: 985-624-4100
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Mailing Address
-- MAYA LADMIRAULT
PO BOX 37
MANDEVILLE, LA 70470-0037
Phone number: 985-624-4100
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