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1114076353
BETTY LYNETTE CRAIN
SHREVEPORT, LA
NPI
1114076353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A4064)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
-- BETTY LYNETTE CRAIN PTA
1800 BUCKNER ST SUITE C200
SHREVEPORT, LA 71101-4440
Phone number: 318-227-2009
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Mailing Address
-- BETTY LYNETTE CRAIN PTA
1800 BUCKNER ST SUITE C200
SHREVEPORT, LA 71101-4440
Phone number: 318-227-2009
Copy
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