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1992278972
SHELBY LYNN BOURGEOIS
PRAIRIEVILLE, LA
NPI
1992278972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 309211)
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
SHELBY LYNN BOURGEOIS MOT, LOTR
37283 SWAMP RD
PRAIRIEVILLE, LA 70769-3329
Phone number: 225-744-1717
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Mailing Address
SHELBY LYNN BOURGEOIS MOT, LOTR
37283 SWAMP RD
PRAIRIEVILLE, LA 70769-3329
Phone number:
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