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1235172891
JON L RICHARDSON
WINNSBORO, LA
NPI
1235172891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 06932)
Enumeration Date
2006-06-13
Last Update Date
2007-07-08
Business Address
-- JON L RICHARDSON PT
710 PRAIRIE ST
WINNSBORO, LA 71295-2630
Phone number: 318-435-3882
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Mailing Address
-- JON L RICHARDSON PT
PO BOX 432
WINNSBORO, LA 71295-0432
Phone number: 318-435-3882
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