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Individual

STEPHAN C LEBLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
4501 JACKSON ST EXT STE B, ALEXANDRIA, LA 71303-2555
(318) 240-7680
Mailing address
2002 JOHNSON ST STE 100, JENNINGS, LA 70546-3640
(337) 824-4547
(337) 824-4548

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08590
LA

Other

Enumeration date
10/09/2017
Last updated
10/09/2017
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