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1285905356
LUGENE DAVIS
BOSSIER CITY, LA
NPI
1285905356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A4803)
Enumeration Date
2012-01-22
Last Update Date
2012-01-22
Business Address
Mr. LUGENE DAVIS
4405 AIRLINE DR
BOSSIER CITY, LA 71111-2058
Phone number: 318-741-1196
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Mailing Address
Mr. LUGENE DAVIS
8934 TAYLOR LN
SHREVEPORT, LA 71129-4353
Phone number:
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