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Individual

MR. RUEL OGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
491 RIDDLE LN, APT 22, LAKE PROVIDENCE, LA 71254-5485
(318) 381-4722
Mailing address
491 RIDDLE LN, APT 22, LAKE PROVIDENCE, LA 71254-5485
(318) 381-4722

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08273F
LA

Other

Enumeration date
06/24/2014
Last updated
06/24/2014
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