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1164717526
SALLY POWELL CONNELLA
SHREVEPORT, LA
NPI
1164717526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 08043)
Enumeration Date
2011-06-14
Last Update Date
2011-06-14
Business Address
Mrs. SALLY POWELL CONNELLA PT, DPT
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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Mailing Address
Mrs. SALLY POWELL CONNELLA PT, DPT
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
Copy
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