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1093086167
JACALYN NIERMAN
SHREVEPORT, LA
NPI
1093086167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA Z11269)
Enumeration Date
2012-01-22
Last Update Date
2012-01-22
Business Address
-- JACALYN NIERMAN
246 WINTERWOOD DR
SHREVEPORT, LA 71106-7647
Phone number: 318-797-7202
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Mailing Address
-- JACALYN NIERMAN
246 WINTERWOOD DR
SHREVEPORT, LA 71106-7647
Phone number: 318-797-7202
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