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1073684700
JASON PAUL DOUGLAS
HOUMA, LA
NPI
1073684700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07120)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- JASON PAUL DOUGLAS PT
210 NEW ORLEANS BLVD
HOUMA, LA 70364-3346
Phone number: 985-868-4487
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Mailing Address
-- JASON PAUL DOUGLAS PT
210 NEW ORLEANS BLVD
HOUMA, LA 70364-3346
Phone number: 985-868-4487
Copy
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