RANDALL EUGENE SIMMONS

BOSSIER CITY, LA
NPI1093111213
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: LA  200422)
Enumeration Date2014-11-16
Last Update Date2014-11-16
Business Address
-- RANDALL EUGENE SIMMONS
2575 AIRLINE DR
BOSSIER CITY, LA 71111-5812
Phone number: 318-746-7466
Mailing Address
-- RANDALL EUGENE SIMMONS
318 ACE ST
HAUGHTON, LA 71037-8774
Phone number: 318-423-0297
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