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1104505643
JOSE FERNANDEZ
SHREVEPORT, LA
NPI
1104505643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 11517)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
JOSE FERNANDEZ PT, DPT
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2970
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Mailing Address
JOSE FERNANDEZ PT, DPT
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2970
Copy
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