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1063010148
MARIETTA SUZANNE SHEPHERD
SHREVEPORT, LA
NPI
1063010148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 04834)
Enumeration Date
2020-10-12
Last Update Date
2020-10-12
Business Address
Mrs. MARIETTA SUZANNE SHEPHERD PT
6723 PINES RD STE 112
SHREVEPORT, LA 71129-2590
Phone number: 318-563-3944
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Mailing Address
Mrs. MARIETTA SUZANNE SHEPHERD PT
6723 PINES RD STE 112
SHREVEPORT, LA 71129-2590
Phone number: 318-562-3944
Copy
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