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1235636226
ERNEST CARPENTER
SHREVEPORT, LA
NPI
1235636226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.Z12249)
Enumeration Date
2018-04-07
Last Update Date
2018-04-07
Business Address
ERNEST CARPENTER LOTR
7607 FERN AVE STE 704
SHREVEPORT, LA 71105-5744
Phone number: 318-828-1450
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Mailing Address
ERNEST CARPENTER LOTR
7607 FERN AVE STE 704
SHREVEPORT, LA 71105-5744
Phone number: 318-828-1450
Copy
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