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1053816983
JEFFREY WRIGHT
SHREVEPORT, LA
NPI
1053816983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A4669)
Enumeration Date
2018-03-23
Last Update Date
2018-03-23
Business Address
JEFFREY WRIGHT
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2970
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Mailing Address
JEFFREY WRIGHT
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2962
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