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1194300574
ASHLEY BREED
SHREVEPORT, LA
NPI
1194300574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A10418R)
Enumeration Date
2021-03-16
Last Update Date
2021-03-16
Business Address
ASHLEY BREED
8622 LINE AVE
SHREVEPORT, LA 71106-6108
Phone number: 318-868-4126
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Mailing Address
ASHLEY BREED
509 MARKET ST APT 707
SHREVEPORT, LA 71101-5094
Phone number: 225-955-4330
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